Individual provider Active NPI

Marc Seth Chaise, MD

  • Diagnostic Radiology Physician
  • Piscataway, NJ
National Provider Identifier
1962963173
Registry record updated Jan 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
ME165459 Issued in FL
Practice address
675 Hoes LN W
Piscataway, NJ 08854-8021
Phone
(732) 235-7721
Fax
(732) 235-6889
NPI assigned
Mar 29, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Diagnostic Radiology Physician 2085R0202X ME165459 FL Primary

Addresses

Primary practice location

675 Hoes LN W
Piscataway, NJ 08854-8021

Mailing address

675 Hoes LN W
Piscataway, NJ 08854-8021
Phone (732) 235-7721

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, KY2 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
I20240603001742 FL Practitioner - Diagnostic Radiology 9830631191 Reassigns benefits to 4 organizations
I20260521003182 KY Practitioner - Diagnostic Radiology 9830631191 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
State University of New York at Buffalo School of Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florida Hospital Medical Group IncGroup PAC ID 0042383200, 329 clinicians
Florida Radiology Imaging at Lake Mary LLCGroup PAC ID 1254311137, 273 clinicians

Practice addresses (Care Compare)

Wilton Manors, FL 33334
Phone (407) 200-2355

1480 W Orange Blossom TRL
Adventhealth Imaging Apopka
Apopka, FL 32712-2637
Phone (407) 200-5440

1551 Future Way
Adventhealth Imaging
Celebration, FL 34747-4489
Phone (407) 303-4041

1919 E Hwy 50 101
Adventhealth Imaging Center Clermon
Clermont, FL 34711-1975
Phone (352) 717-3738

210 Marie Langdon Dr
Manchester, KY 40962-6388
Phone (606) 598-5104

2200 Fowler Grove Blvd
Suite 60
Winter Garden, FL 34787-5597
Phone (407) 200-0538

235 E Princeton St
Suite 100
Orlando, FL 32804-5554
Phone (407) 303-1414

2488 E Irlo Bronson Memorial Hwy
Ahi Partin Settlement
Kissimmee, FL 34744-4948
Phone (407) 200-5440

25 S Terry Ave
Suite 220
Orlando, FL 32805-1843
Phone (407) 641-2446

4914 Pacifico CT
Palm Beach Gardens, FL 33418-8994
Phone (407) 200-2355

661 E Altamonte Dr
Suite 130
Altamonte Springs, FL 32701-5102
Phone (407) 303-2155

Hospital & facility affiliations

  • Adventhealth Orlando Hospital, Orlando, FL, CCN 100007
  • Adventhealth Waterman Hospital, Tavares, FL, CCN 100057
  • Adventhealth Daytona Beach Hospital, Daytona Beach, FL, CCN 100068
  • Adventhealth Deland Hospital, Deland, FL, CCN 100045
  • AdventHealth Palm Coast Hospital, Palm Coast, FL, CCN 100118

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Radiology Imaging at Lake Mary, LLC Diagnostic Radiology CurrentSince Sep 22, 2025 Accepting new patients
Florida Hospital Medical Group Inc Diagnostic Radiology CurrentSince Sep 22, 2025 Accepting new patients
Tower Imaging LLC Diagnostic Radiology CurrentSince Jul 1, 2024 Accepting new patients
Mori Bean and Brooks Inc Diagnostic Radiology CurrentSince May 10, 2024 Accepting new patients
Tower Imaging LLC Diagnostic Radiology CurrentSince Jul 1, 2024 Accepting new patients
Tower Imaging LLC Diagnostic Radiology Current Accepting new patients

Locations

2001 Kingsley Ave
Orange Park, FL 32073
Phone (904) 215-7015

13695 US Highway 1
Sebastian, FL 32958
Phone (772) 589-3185

4719 N Habana Ave
Tampa, FL 33614
Phone (813) 874-9769

2106 S Lois Ave
Tampa, FL 33629
Phone (813) 287-1191

14499 N Dale Mabry Hwy
Ste 150
Tampa, FL 33618
Phone (813) 968-6998

2 Tampa General Cir
Tampa, FL 33606
Phone (813) 259-8700

2115 Little Rd
Trinity, FL 34655
Phone 7278418225410

210 Marie Langdon Dr
Manchester, KY 40962
Phone (865) 985-7047

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: mchaise5481656@adventhealth.direct-ci.com

Organizations & group practices 6

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.

Hospital & facility affiliations 7

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": "1553817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736380800000",
    "number": "1962963173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "675 HOES LN W",
            "city": "PISCATAWAY",
            "state": "NJ",
            "postal_code": "088548021",
            "telephone_number": "732-235-7721",
            "fax_number": "732-235-6889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "675 HOES LN W",
            "city": "PISCATAWAY",
            "state": "NJ",
            "postal_code": "088548021",
            "telephone_number": "732-235-7721",
            "fax_number": "732-235-6889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAISE",
        "first_name": "MARC",
        "middle_name": "SETH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-29",
        "last_updated": "2025-01-09",
        "certification_date": "2025-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "ME165459",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Piscataway, NJ

Sources for this page

Verify at the official NPI Registry.