Individual provider Active NPI

Pitaya Chaitum, RDMS, RDCS

  • Sonography Specialist/Technologist Cardiovascular
  • New Milford, NJ
National Provider Identifier
1992074132
Registry record updated Apr 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sonography Specialist/Technologist CardiovascularTaxonomy code 246XS1301X
Practice address
592 River Rd
New Milford, NJ 07646-2914
Phone
(201) 667-0327
NPI assigned
Dec 16, 2011
Last updated
Apr 14, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 14, 2014

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Specialist/Technologist 246X00000X
Vascular Specialist/Technologist Cardiovascular 246XC2903X
Sonography Specialist/Technologist Cardiovascular 246XS1301X Primary
Sonography Radiologic Technologist 2471S1302X

Addresses

Primary practice location

592 River Rd
New Milford, NJ 07646-2914

Mailing address

592 River Rd
New Milford, NJ 07646-2914
Phone (201) 667-0327

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Rochelle Park Diagnostics Specialist/Technologist Cardiovascular Past Accepting new patients
Azonic Diagnostic Sonography LLC Specialist/Technologist Cardiovascular Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1323993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1397433600000",
    "number": "1992074132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "592 RIVER RD",
            "city": "NEW MILFORD",
            "state": "NJ",
            "postal_code": "076462914",
            "telephone_number": "201-667-0327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "592 RIVER RD",
            "city": "NEW MILFORD",
            "state": "NJ",
            "postal_code": "076462914",
            "telephone_number": "201-667-0327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAITUM",
        "first_name": "PITAYA",
        "credential": "RDMS, RDCS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-12-16",
        "last_updated": "2014-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246X00000X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist Cardiovascular",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "246XC2903X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist Cardiovascular, Vascular Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "246XS1301X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist Cardiovascular, Sonography",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2471S1302X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist, Sonography",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Milford, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.