Individual provider Active NPI

Sydney X Chen, M.D.

  • Internal Medicine Physician
  • Matawan, NJ
National Provider Identifier
1992035315
Registry record updated Jan 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25MA08681900 Issued in NJ
Practice address
1070 State Route 34
Suite C
Matawan, NJ 07747-3469
Phone
(732) 290-0300
Fax
(732) 290-9661
NPI assigned
Jan 7, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 25MA08681900 NJ Primary

Addresses

Primary practice location

1070 State Route 34
Suite C
Matawan, NJ 07747-3469

Mailing address

1070 State Route 34
Suite C
Matawan, NJ 07747-3469
Phone (732) 290-0300

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
I20100512000789 NY Practitioner - Internal Medicine 8729116710 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

315 Demorest Ave
Staten Island, NY 10314-3111
Phone (718) 370-9778

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA08681900NJMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Alpha Internal Medicine PC Internal Medicine CurrentSince Feb 3, 2011 Accepting new patients
The Doctor's Office, PC Internal Medicine PastSince Jul 1, 1997 Accepting new patients
Hudson MD Group Internal Medicine Past Accepting new patients
Carmel Richmond Nursing Home, Inc. Past Accepting new patients
Amboy Medical Practice PC Past Accepting new patients
Amboy Medical Practice PC Internal Medicine PastSince Sep 1, 2024 Accepting new patients

Locations

1415 Richmond Ave
Staten Island, NY 10314
Phone (212) 475-5540

88 Old Town Rd
Staten Island, NY 10304
Phone (718) 979-4508

355 Bard Ave
Staten Island, NY 10310
Phone (718) 818-1380

Networks

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

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 3

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": "1262822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1262822400000",
    "number": "1992035315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1070 STATE ROUTE 34",
            "address_2": "SUITE C",
            "city": "MATAWAN",
            "state": "NJ",
            "postal_code": "077473469",
            "telephone_number": "732-290-0300",
            "fax_number": "732-290-9661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1070 STATE ROUTE 34",
            "address_2": "SUITE C",
            "city": "MATAWAN",
            "state": "NJ",
            "postal_code": "077473469",
            "telephone_number": "732-290-0300",
            "fax_number": "732-290-9661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHEN",
        "first_name": "SYDNEY",
        "middle_name": "X",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-01-07",
        "last_updated": "2010-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA08681900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Matawan, NJ

Sources for this page

Verify at the official NPI Registry.