Active NPI
Joe Willie Chamberlin, M.D.
- Family Medicine Physician
- Yonkers, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 180341
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01518390 | Medicaid | NY |
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
Enrollment records 1
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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| City Medical Healthcare Associates PLLC | Current | Accepting new patients | |
| Shirish Patel Medical P.C. | Current | Accepting new patients | |
| Medinova Physicians PLLC | Current | 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.
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- New York, NY
- NPI 1093357568
-
- Internal Medicine Physician
- Bronx, NY
- NPI 1740425545
-
- Pulmonary Disease Physician
- Astoria, NY
- NPI 1497058853
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2010; 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.