Dariusz Chacinski, M.D. – Psychiatry Physician

Key facts

NPI: 1811088677
Entity type: Individual (NPI type 1)
Primary specialty: Psychiatry Physician 2084P0800X
License: MA06547800 (NJ)
Practice address: 100 Sullivan Way
West Trenton, NJ 08628
Phone: (609) 633-1562
Fax: (609) 633-8527
NPI assigned: Sep 27, 2006
Sex: Male
Sole proprietor: No

Organizations & group practices 1

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.

State of New Jersey Omb Centralized Payroll Psychiatric Hospital · Trenton, NJ · NPI 1467552240

NPD (past)

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): Yes
Credentials: Doctor of Medicine

State licenses

License	State	Type	Specialty
MA06547800	NJ	MD	Psychiatry Physician

Practice roles

Organization	Specialty	Status	New patients
State of New Jersey Omb Centralized Payroll		Past	Accepting new patients

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Psychiatry Physician	2084P0800X	MA06547800	NJ	Yes

Addresses

Primary practice location

100 Sullivan Way
West Trenton, NJ 08628

Mailing address

100 Sullivan Way
West Trenton, NJ 08628
Phone (609) 633-1562

Other identifiers

Identifier	Type	State	Issuer
040280C2D	Other	NJ	MEDICARE PROVIDER NR

Other providers in West Trenton, NJ

All providers in West Trenton, NJ · Psychiatry Physician in New Jersey

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 13, 2008. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.