Individual provider Active NPI

Chaya Eliyahu, PA-C

  • Physician Assistant
  • Lakewood, NJ
National Provider Identifier
1932852845
Registry record updated Jan 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
25MP00683000 Issued in NJ
Practice address
108 Hillside Blvd
Lakewood, NJ 08701-3148
Phone
(732) 576-2273
NPI assigned
Jan 31, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 25MP00683000 NJ Primary

Addresses

Primary practice location

108 Hillside Blvd
Lakewood, NJ 08701-3148

Mailing address

108 Hillside Blvd
Lakewood, NJ 08701-3148

Medicare participation

Medicare enrollment files
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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220621001735 NJ Practitioner - Physician Assistant 0840679965 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Lakewood Resource and Referral Center Inc CurrentSince May 1, 2022 Accepting new patients
Lakewood Resource and Referral Center, Inc. CurrentSince May 1, 2022 Accepting new patients

Locations

1771 Madison Ave
Lakewood, NJ 08701
Phone (732) 364-2144

108 Hillside Blvd
Lakewood, NJ 08701
Phone 73236421445370

Interoperability endpoints

  • Direct secure messaging: chaya.eliyahu@chemed.eclinicaldirectplus.com

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": "1643587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643587200000",
    "number": "1932852845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 HILLSIDE BLVD",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087013148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 HILLSIDE BLVD",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087013148",
            "telephone_number": "732-576-2273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELIYAHU",
        "first_name": "CHAYA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-31",
        "last_updated": "2022-01-31",
        "certification_date": "2022-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NJ",
            "license": "25MP00683000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, NJ

Sources for this page

Verify at the official NPI Registry.