Organization Active NPI

Scotch Plains Medical Center LLC

  • Urgent Care Clinic/Center
  • Scotch Plains, NJ
National Provider Identifier
1861910473
Registry record updated Oct 2, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
SCOTCH PLAINS MEDICAL CENTER LLC
Practice address
1814 East Second Street
Scotch Plains, NJ 07076
Phone
(908) 322-6611
NPI assigned
Sep 3, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2017

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

Authorized official

Name
Dr. Chetankumar Chauhan, MD
Title
Managers
Phone
(908) 322-6611

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X Primary

Addresses

Primary practice location

1814 East Second Street
Scotch Plains, NJ 07076

Mailing address

1814 East Second Street
Scotch Plains, NJ 07076

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20171116000952 NJ Part B Supplier - Clinic/Group Practice 6002172574 Receives reassigned benefits from 5 practitioners
Practice locations: Scotch Plains, NJ

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
31D2136699Scotch Plains Medical Center1814 East 2ND Street, Scotch Plains, NJ 07076Certificate of waiverSep 12, 2027

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1504396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1506902400000",
    "number": "1861910473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1814 EAST SECOND STREET",
            "city": "SCOTCH PLAINS",
            "state": "NJ",
            "postal_code": "07076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1814 EAST SECOND STREET",
            "city": "SCOTCH PLAINS",
            "state": "NJ",
            "postal_code": "07076",
            "telephone_number": "908-322-6611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOTCH PLAINS MEDICAL CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-03",
        "last_updated": "2017-10-02",
        "status": "A",
        "authorized_official_last_name": "CHAUHAN",
        "authorized_official_first_name": "CHETANKUMAR",
        "authorized_official_title_or_position": "MANAGERS",
        "authorized_official_telephone_number": "908-322-6611",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scotch Plains, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.