Individual provider Active NPI

Michael Chen, M.D.

  • Cardiovascular Disease Physician
  • Edison, NJ
National Provider Identifier
1790770642
Registry record updated Mar 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
MA33616 Issued in NJ
Practice address
35 Progress St # 37
Suite B-2
Edison, NJ 08820-1179
Phone
(908) 754-9292
Fax
(732) 463-6082
NPI assigned
Sep 16, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X MA33616 NJ Primary

Addresses

Primary practice location

35 Progress St # 37
Suite B-2
Edison, NJ 08820-1179

Mailing address

35 Progress St # 37
Suite B-2
Edison, NJ 08820-1179
Phone (908) 754-9292

Other identifiers 1

IdentifierTypeStateIssuer
0560502MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050915000010 NJ Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 9931132404 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MA33616NJMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Robert Wood Johnson Physician Enterprise Cardiovascular Disease CurrentSince Jul 1, 2016 Accepting new patients
Cardiology Services of Elizabeth Cardiovascular Disease Past Accepting new patients
Community Hospital Group Inc Past Accepting new patients
St Michaels Cardiology Associates Cardiovascular Disease Past Accepting new patients

Locations

37 Progress St
Ste B2
Edison, NJ 08820
Phone (908) 754-9292

865 Stone St
Rahway, NJ 07065
Phone (732) 381-4000

379 Campus Dr
Fl 4
Somerset, NJ 08873
Phone (732) 507-6545

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1126828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489363200000",
    "number": "1790770642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 PROGRESS ST # 37",
            "address_2": "SUITE B-2",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088201179",
            "telephone_number": "908-754-9292",
            "fax_number": "732-463-6082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 PROGRESS ST # 37",
            "address_2": "SUITE B-2",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088201179",
            "telephone_number": "908-754-9292",
            "fax_number": "732-463-6082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHEN",
        "first_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-16",
        "last_updated": "2017-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NJ",
            "license": "MA33616",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0560502",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Edison, NJ

Sources for this page

Verify at the official NPI Registry.