Individual provider Active NPI

Ron Chay, M.D.

  • Nephrology Physician
  • Staten Island, NY
National Provider Identifier
1982639324
Registry record updated Jul 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
240901 Issued in NY
Practice address
4143 Richmond Ave
Suite 1
Staten Island, NY 10312-5637
Phone
(718) 967-0100
Fax
(718) 967-0920
NPI assigned
Jul 12, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 20, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 240901 NY Primary
Internal Medicine Physician 207R00000X 240901 NY

Addresses

Primary practice location

4143 Richmond Ave
Suite 1
Staten Island, NY 10312-5637

Mailing address

4143 Richmond Ave
Suite 1
Staten Island, NY 10312-5637
Phone (718) 967-0100

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
I20070108000050 NY Practitioner - NephrologyPractitioner - Internal Medicine 6608876198 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4641 B Hylan Blvd
Staten Island, NY 10312-6405
Phone (718) 967-0100

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
22.07 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
73.55

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Kidney and Hypertension Medicine, P.C. Nephrology CurrentSince Nov 11, 2009 Accepting new patients
Stephen P Coppa DO PC Internal Medicine PastSince Nov 11, 2009 Accepting new patients
Staten Island Hospitalists, PC Internal Medicine Past Accepting new patients
Richard P Carr Physical Therapy Inc Past Accepting new patients

Locations

4143 Richmond Ave
Ste 1
Staten Island, NY 10312
Phone (718) 966-5556

475 Seaview Ave
Staten Island, NY 10305
Phone (718) 226-8855

4641B Hylan Blvd
Staten Island, NY 10312
Phone (718) 948-6600

Networks

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

Interoperability endpoints

  • Direct secure messaging: rchay66074@northwell.direct-ci.com

Organizations & group practices 4

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 6

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": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437350400000",
    "number": "1982639324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4143 RICHMOND AVE",
            "address_2": "SUITE 1",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103125637",
            "telephone_number": "718-967-0100",
            "fax_number": "718-967-0920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4143 RICHMOND AVE",
            "address_2": "SUITE 1",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103125637",
            "telephone_number": "718-967-0100",
            "fax_number": "718-967-0920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAY",
        "first_name": "RON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-12",
        "last_updated": "2015-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NY",
            "license": "240901",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "240901",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

Verify at the official NPI Registry.