Active NPI
Marie Chen, MS PAC
- Physician Assistant
- Verona, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 25MP00086100
- Practice address
- 60 Pompton Ave
The Dermatology Group, P.C.
Verona, NJ 07044-2946 - Phone
- (856) 577-7087
- Fax
- (973) 571-2126
- NPI assigned
- Nov 1, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 25MP00086100 | NJ | Primary |
Addresses
Primary practice location
60 Pompton Ave
The Dermatology Group, P.C.
Verona, NJ 07044-2946
Mailing address
60 Pompton Ave
The Dermatology Group, P.C.
Verona, NJ 07044-2946
Phone (856) 577-7087
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ, NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Philadelphia College of Osteopathic Medicine, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
25 Mountainview Blvd
Suite 206B
Basking Ridge, NJ 07920-3453
Phone (908) 549-5800
506 Broadway
Bayonne, NJ 07002-3712
Phone (201) 471-7012
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.15 of 100
- Quality
- 71.59
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 76.65
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science, Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MP00086100 | NJ | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Contemporary Dermatology LLC | Current | Accepting new patients | |
| Optum Medical Care of New Jersey PC | Current | Accepting new patients | |
| North Jersey Dermatology Center,P.C. | Current | Accepting new patients | |
| A.G. Dikengil, MD, PA | Past | Accepting new patients | |
| Medical Monitoring | Past | Accepting new patients |
Locations
3880 Falmouth Rd
Marstons Mls, MA 02648
Phone (508) 492-3200
25 Mountainview Blvd
Ste 206B
Basking Ridge, NJ 07920
Phone (908) 549-5800
25 Mountainview Blvd
Basking Ridge, NJ 07920
Phone (908) 758-1006
935 River Rd
Ste 301
Edgewater, NJ 07020
Phone (201) 471-7012
35 Green Pond Rd
Ste C
Rockaway, NJ 07866
Phone (973) 208-8110
35 Green Pond Rd
Rockaway, NJ 07866
Phone (973) 586-7447
Interoperability endpoints
- mchen76886@direct.optum.com
Organizations & group practices 6
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1811074263",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "60 POMPTON AVE",
"address_2": "THE DERMATOLOGY GROUP, P.C.",
"city": "VERONA",
"state": "NJ",
"postal_code": "070442946",
"telephone_number": "856-577-7087",
"fax_number": "973-571-2126"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "60 POMPTON AVE",
"address_2": "THE DERMATOLOGY GROUP, P.C.",
"city": "VERONA",
"state": "NJ",
"postal_code": "070442946",
"telephone_number": "856-577-7087",
"fax_number": "973-571-2126"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHEN",
"first_name": "MARIE",
"name_prefix": "Ms.",
"credential": "MS PAC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-01",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NJ",
"license": "25MP00086100",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Verona, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.