Jason Chouake, M.D.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

25MA09997700 Issued in NJ

Practice address

663 Palisade Ave Ste 201
Cliffside Park, NJ 07010-3012

Phone

(201) 298-3650

Fax

(201) 917-2274

NPI assigned

Jul 2, 2013

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

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 1

Specialty

Dermatology

Education

Albert Einstein College of Medicine of Yeshiva University, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Cliffside Medical LLCGroup PAC ID 0042230740, 6 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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.

• Cliffside Medical LLC

  • Dermatology Physician
  • Cliffside Park, NJ
  • NPI 1104908813
  Medicare reassignment Care Compare group NPD
• Trokhan Dermatology, LLC

  • Dermatology Physician
  • Closter, NJ
  • NPI 1437185162
  Medicare reassignment NPD
• Askdrjason LLC

  dba Cliffside Skin and Laser

  • Dermatology Physician
  • Cliffside Park, NJ
  • NPI 1043157969
  NPD (past) Authorized official

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

{
    "created_epoch": "1372723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652227200000",
    "number": "1891135943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 PELHAM PKWY S",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104611138",
            "telephone_number": "718-918-5640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "663 PALISADE AVE STE 201",
            "city": "CLIFFSIDE PARK",
            "state": "NJ",
            "postal_code": "070103012",
            "telephone_number": "201-298-3650",
            "fax_number": "201-917-2274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHOUAKE",
        "first_name": "JASON",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-07-02",
        "last_updated": "2022-05-11",
        "certification_date": "2022-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NJ",
            "license": "25MA09997700",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "AA5343695",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anna Cho, DACM
• Eugene Hongsuk Choi
• Olivia Rose Choi
• Sun Choi, DACM
• Benjamin Chouake, MD
• Chris Vecchione PT LLC (Emerge Physical Therapy & Wellness)
• Constantine G Christolias, DDS DOCTOR OF DENTIS
• Thomas Chun, MD
• Steven S Chung, L.AC
• Barbara Cirignano, MD

• Dermatology Physician in Cliffside Park, NJ
• Providers in Cliffside Park, NJ by specialty
• Dermatology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2022; 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.
• 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.