Organization Active NPI

Newport Medical LLC

  • Internal Medicine Physician
  • Jersey City, NJ
National Provider Identifier
1982942660
Registry record updated Jan 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
NEWPORT MEDICAL LLC
Practice address
610 Washington Blvd
Jersey City, NJ 07310-1400
Phone
(201) 222-1266
Fax
(201) 626-4548
NPI assigned
Jan 30, 2013
Last updated
Jan 30, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2013

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

Authorized official

Name
Dr. Ronak Chinai, M.D,NPI 1235115312
Title
Partner
Phone
(201) 222-1266

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 Physician 207R00000X NU Primary

Addresses

Primary practice location

610 Washington Blvd
Jersey City, NJ 07310-1400

Mailing address

610 Washington Blvd
Jersey City, NJ 07310-1400
Phone (201) 222-1266

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130605000573 NJ Part B Supplier - Clinic/Group Practice 7517105323 Receives reassigned benefits from 4 practitioners
Practice locations: Jersey City, NJ

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
31D2241667Newport Medical Associates610 Washington Blvd, Jersey City, NJ 07310Certificate of waiverOct 31, 2027

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1359504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1359504000000",
    "number": "1982942660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 WASHINGTON BLVD",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073101400",
            "telephone_number": "201-222-1266",
            "fax_number": "201-626-4548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 WASHINGTON BLVD",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073101400",
            "telephone_number": "201-222-1266",
            "fax_number": "201-626-4548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEWPORT MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-30",
        "last_updated": "2013-01-30",
        "status": "A",
        "authorized_official_last_name": "CHINAI",
        "authorized_official_first_name": "RONAK",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "201-222-1266",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D,"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jersey City, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.