Individual provider Active NPI

John Nick Chafos, MD

  • Internal Medicine Physician
  • Green Brook, NJ
National Provider Identifier
1871673830
Registry record updated Mar 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25MA05399400 Issued in NJ
Practice address
257 RT 22 East
Green Brook, NJ 08812
Phone
(732) 968-8832
Fax
(732) 968-2187
NPI assigned
Oct 16, 2006
Last updated
Mar 29, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 25MA05399400 NJ
Internal Medicine Physician 207R00000X 25MA05399400 NJ Primary

Addresses

Primary practice location

257 RT 22 East
Green Brook, NJ 08812

Mailing address

257 RT 22 East
Green Brook, NJ 08812
Phone (732) 968-8832

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20050622000792 NJ Practitioner - Family PracticePractitioner - Internal MedicinePractitioner - Emergency Medicine 3870538663 Reassigns benefits to 2 organizations
O20100930083895 NJ DME Supplier - Physician - General Practice 1658584008 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Greenbrook, NJ

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Emergency Medicine
Education
Tufts University School of Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family Care PAGroup PAC ID 1658584008, 10 clinicians

Practice addresses (Care Compare)

256 US Hwy 206
Hillsborough, NJ 08844-4681
Phone (908) 262-2263

257 Route 22 E
Green Brook, NJ 08812-9997
Phone (732) 968-7878

Family Care PA
257 Route 22 East
Green Brook, NJ 08812-9997

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25MA05399400NJMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Robert Wood Johnson Physician Enterprise Internal Medicine CurrentSince Jan 8, 2024 Accepting new patients
Family Care PA Emergency Medicine CurrentSince Jul 1, 2001 Accepting new patients

Locations

901 W Main St
Ste 205
Freehold, NJ 07728
Phone (732) 866-0800

256 US Highway 206
Hillsborough, NJ 08844
Phone (908) 262-2263

379 Campus Dr
Fl 4
Somerset, NJ 08873
Phone (732) 507-6545

Interoperability endpoints

  • Direct secure messaging: jchafos410348@direct.ahsys.org

Organizations & group practices 2

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1301356800000",
    "number": "1871673830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "257 RT 22 EAST",
            "city": "GREEN BROOK",
            "state": "NJ",
            "postal_code": "08812",
            "telephone_number": "732-968-8832",
            "fax_number": "732-968-2187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "257 RT 22 EAST",
            "city": "GREEN BROOK",
            "state": "NJ",
            "postal_code": "08812",
            "telephone_number": "732-968-8832",
            "fax_number": "732-968-2187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAFOS",
        "first_name": "JOHN",
        "middle_name": "NICK",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-16",
        "last_updated": "2011-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NJ",
            "license": "25MA05399400",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA05399400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Green Brook, NJ

Sources for this page

Verify at the official NPI Registry.