Carolyn B Chambers, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

C5-0001000 Issued in DE

Practice address

124 Sleepy Hollow Dr
Suite 203
Middletown, DE 19709-5838

Phone

(302) 449-3030

Fax

(302) 449-3040

NPI assigned

Jul 11, 2013

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Ms. Carolyn B Monaco Former name

Medicare fee-for-service enrollment

Enrolled in MA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Afc Physicians of Massachusetts, PC

  • Urgent Care Clinic/Center
  • Springfield, MA
  • NPI 1902123276
  Medicare reassignment
• Afc Physicians of Massachusetts, PC

  • Urgent Care Clinic/Center
  • Saugus, MA
  • NPI 1871865709
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1373500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453334400000",
    "number": "1700227352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 SLEEPY HOLLOW DR",
            "address_2": "SUITE 203",
            "city": "MIDDLETOWN",
            "state": "DE",
            "postal_code": "197095838",
            "telephone_number": "302-449-3030",
            "fax_number": "302-449-3040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 SLEEPY HOLLOW DR",
            "address_2": "SUITE 203",
            "city": "MIDDLETOWN",
            "state": "DE",
            "postal_code": "197095838",
            "telephone_number": "302-449-3030",
            "fax_number": "302-449-3040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAMBERS",
        "first_name": "CAROLYN",
        "middle_name": "B",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-11",
        "last_updated": "2016-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "DE",
            "license": "C5-0001000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "420548ZB9M",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAROLYN",
            "last_name": "MONACO",
            "middle_name": "B",
            "prefix": "MS.",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Center for Interventional Pain Spine LLC
• Center for Interventional Pain Spine LLC
• Center for Interventional Pain Spine LLC
• Center for Interventional Pain Spine LLC
• Center for Interventional Pain Spine LLC
• Kamryn Chandler
• Alyssa Charboneau, PHARMD, RPH
• Lorna Charles
• Andrew Chas, D.C.
• Indeya Chavis, LPCMH

• Physician Assistant in Middletown, DE
• Providers in Middletown, DE by specialty
• Physician Assistant in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.