Joel P Chack,DO PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

JOEL P CHACK,DO PC

Practice address

600 S White Horse Pike
Lindenwold, NJ 08021-2307

Phone

(856) 783-4779

NPI assigned

Jul 21, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Joel Chack, DO

Title

Physician

Phone

(856) 783-4779

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1248134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248134400000",
    "number": "1790915080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 S WHITE HORSE PIKE",
            "city": "LINDENWOLD",
            "state": "NJ",
            "postal_code": "080212307",
            "telephone_number": "856-783-4779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 S WHITE HORSE PIKE",
            "city": "LINDENWOLD",
            "state": "NJ",
            "postal_code": "080212307",
            "telephone_number": "856-783-4779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOEL P CHACK,DO PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-21",
        "last_updated": "2009-07-21",
        "status": "A",
        "authorized_official_last_name": "CHACK",
        "authorized_official_first_name": "JOEL",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "856-783-4779",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marie Henselderkimmel, M.D.
• Shannon Marie Hines, ATC
• Rhonda Hornstein, PTA
• Aubin Hountondji
• Tammy S. Jamison
• Nirell Johnson
• Julie Joseph, PHARMD
• Maneesh Julka, DDS
• Kelsch Associates Inc. New Jersey
• Kennedy University Hospital Inc

• Internal Medicine Physician in Lindenwold, NJ
• Providers in Lindenwold, NJ by specialty
• Internal Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2009; 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.