Edmond Chen, M.D.

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

64199 Issued in CA

Practice address

8 Rippling Brook Dr
Short Hills, NJ 07078-1327

Phone

(415) 713-4973

NPI assigned

Jun 15, 2015

Last updated

Jun 15, 2015By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Berkeley Cardiovascular Medical Group

  • Cardiovascular Disease Physician
  • Oakland, CA
  • NPI 1194746057
  NPD (past)

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

{
    "created_epoch": "1434326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1434326400000",
    "number": "1841671823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 RIPPLING BROOK DR",
            "city": "SHORT HILLS",
            "state": "NJ",
            "postal_code": "070781327",
            "telephone_number": "415-713-4973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 RIPPLING BROOK DR",
            "city": "SHORT HILLS",
            "state": "NJ",
            "postal_code": "070781327",
            "telephone_number": "415-713-4973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHEN",
        "first_name": "EDMOND",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-06-15",
        "last_updated": "2015-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "64199",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shail Busbey, M.D.
• Stephen T Busby, DDS
• Cardiovascular Wellness LLC
• Louis Castellano, LAC
• Eric Boon Tsou Chan, M.D.
• Chinova Psychiatry & Wellness LLC
• Matt Chrystal, MA, LPC, NCC, ACS
• Clarity Core Counseling LLC
• Daniela Colognori, PSY.D.
• Consistent Supports Coordination, LLC

• Cardiovascular Disease Physician in Short Hills, NJ
• Providers in Short Hills, NJ by specialty
• Cardiovascular Disease Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2015; 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.