Organization Active NPI

Jumana Chalabi MD PC

  • Internal Medicine Physician
  • Mountainside, NJ
National Provider Identifier
1972087948
Registry record updated Sep 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
JUMANA CHALABI MD PC
Practice address
2644 Farview Dr
Mountainside, NJ 07092-1326
Phone
(908) 732-1859
NPI assigned
Sep 17, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2018

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

Authorized official

Name
Jumana Chalabi, MDNPI 1326155300
Title
Owner
Phone
(908) 732-1859

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

2644 Farview Dr
Mountainside, NJ 07092-1326

Mailing address

PO Box 275
Franklin Lakes, NJ 07417-0275
Phone (908) 732-1859

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20181109001749 NJ Part B Supplier - Clinic/Group Practice 2062766066 Receives reassigned benefits from 1 practitioner
Practice locations: Westwood, NJ

National Provider Directory

National Provider Directory

Locations

250 Old Hook Rd
#303B
Westwood, NJ 07675
Phone (908) 723-1859

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1537142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1537142400000",
    "number": "1972087948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 275",
            "city": "FRANKLIN LAKES",
            "state": "NJ",
            "postal_code": "074170275",
            "telephone_number": "908-732-1859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2644 FARVIEW DR",
            "city": "MOUNTAINSIDE",
            "state": "NJ",
            "postal_code": "070921326",
            "telephone_number": "908-732-1859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUMANA CHALABI MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-17",
        "last_updated": "2018-09-17",
        "status": "A",
        "authorized_official_last_name": "CHALABI",
        "authorized_official_first_name": "JUMANA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "908-732-1859",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mountainside, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.