Jeffrey M Chalal, M.D.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

25MA04055900 Issued in NJ

Practice address

901 W Main St
Medical Arts Building
Freehold, NJ 07728-2537

Phone

(732) 462-3302

Fax

(732) 780-6213

NPI assigned

Jul 24, 2006

Sex

Male

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• Freehold Radiology Group

  • Diagnostic Radiology Physician
  • Freehold, NJ
  • NPI 1710905682
  NPD (past)

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

{
    "created_epoch": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1228262400000",
    "number": "1790707438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 W MAIN ST",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077282579",
            "telephone_number": "732-462-3302",
            "fax_number": "732-780-6213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 W MAIN ST",
            "address_2": "MEDICAL ARTS BUILDING",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077282537",
            "telephone_number": "732-462-3302",
            "fax_number": "732-780-6213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHALAL",
        "first_name": "JEFFREY",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-24",
        "last_updated": "2008-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NJ",
            "license": "25MA04055900",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2254603",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mary Ann Cernak, PH.D., LCSW
• CFNT LLC (Home Life Recovery)
• Doh Yoon Cha, M.D.
• Jemma Chae
• Shamik Chakraborty, M.D.
• Randall S Chalnick, D.C.
• Steven Chalnick, D.C.
• Alyssa Chamberlain, BCBA
• Champagnepapi LLC
• Jordan Chan, DPT

• Diagnostic Radiology Physician in Freehold, NJ
• Providers in Freehold, NJ by specialty
• Diagnostic Radiology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.