Active NPI
Patricia Ann Androvich Chavarry, DO
- Geriatric Medicine (Internal Medicine) Physician
- Dover, DE
National Provider Identifier
1861601114
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Medicine (Internal Medicine) Physician
- License
- C2-0008573
- Practice address
- 492 Stone Ridge Dr
Dover, DE 19901-8211 - Phone
- (302) 535-4786
- Fax
- (302) 535-4786
- NPI assigned
- May 22, 2007
- Last updated
- Dec 12, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Medicine (Internal Medicine) Physician | 207RG0300X | C2-0008573 | DE | Primary |
| Geriatric Medicine (Internal Medicine) Physician | 207RG0300X | 25MB05808900 | NJ |
Addresses
Primary practice location
492 Stone Ridge Dr
Dover, DE 19901-8211
Mailing address
492 Stone Ridge Dr
Dover, DE 19901-8211
Phone (302) 535-4786
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7277202 | Medicaid | NJ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DE
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190219002152 | DE | Order and Referring Only - Family Practice | 5395815005 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MB05808900 | NJ | MD | Geriatric Medicine (Internal Medicine) Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179792000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1449878400000",
"number": "1861601114",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "492 STONE RIDGE DR",
"city": "DOVER",
"state": "DE",
"postal_code": "199018211",
"telephone_number": "302-535-4786"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "492 STONE RIDGE DR",
"city": "DOVER",
"state": "DE",
"postal_code": "199018211",
"telephone_number": "302-535-4786",
"fax_number": "302-535-4786"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDROVICH CHAVARRY",
"first_name": "PATRICIA",
"middle_name": "ANN",
"credential": "DO",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-22",
"last_updated": "2015-12-12",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Geriatric Medicine",
"state": "DE",
"license": "C2-0008573",
"primary": true
},
{
"code": "207RG0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Geriatric Medicine",
"state": "NJ",
"license": "25MB05808900",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7277202",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dover, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2015; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.