Individual provider Active NPI

Joe Willie Chamberlin, M.D.

  • Family Medicine Physician
  • Yonkers, NY
National Provider Identifier
1912103227
Registry record updated Jul 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
180341 Issued in NY
Practice address
75 S Broadway
Yonkers, NY 10701-4004
Phone
(914) 376-7767
NPI assigned
Jun 23, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 12, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 180341 NY Primary

Addresses

Primary practice location

75 S Broadway
Yonkers, NY 10701-4004

Mailing address

3240 Henry Hudson Pkwy
Apartment #3R
Bronx, NY 10463-3212
Phone (718) 548-5819

Other identifiers 1

IdentifierTypeStateIssuer
01518390MedicaidNY

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20090826000453 NY Practitioner - Internal Medicine 6608921770 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Rutgers R W Johnson Medical School (Cam/New Bruns/Pisc), 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
City Medical Healthcare Associates PLLCGroup PAC ID 9032541768, 10 clinicians

Practice addresses (Care Compare)

2802 Crescent St
Astoria, NY 11102-3141
Phone (718) 278-6666

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
City Medical Healthcare Associates PLLC CurrentSince Nov 1, 2019 Accepting new patients
Shirish Patel Medical P.C. CurrentSince Nov 1, 2019 Accepting new patients
Medinova Physicians PLLC CurrentSince May 14, 2018 Accepting new patients

Locations

814 E 156th St
Bronx, NY 10455
Phone (718) 665-0223

2742 3rd Ave
Bronx, NY 10455
Phone (718) 576-5049

2802 Crescent St
Long Island City, NY 11102
Phone (718) 278-6666

3410 Broadway
New York, NY 10031
Phone (201) 299-4758

3418 Broadway
Ofc 2
New York, NY 10031
Phone (212) 927-0013

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1182556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1278892800000",
    "number": "1912103227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3240 HENRY HUDSON PKWY",
            "address_2": "APARTMENT #3R",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104633212",
            "telephone_number": "718-548-5819",
            "fax_number": "718-548-5819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 S BROADWAY",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107014004",
            "telephone_number": "914-376-7767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAMBERLIN",
        "first_name": "JOE",
        "middle_name": "WILLIE",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-23",
        "last_updated": "2010-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "180341",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01518390",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Yonkers, NY

Sources for this page

Verify at the official NPI Registry.