Active NPI
Dale Chant, CRNP
- Adult Health Nurse Practitioner
- Tinton Falls, NJ
National Provider Identifier
1992734875
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 26N007564700
- Practice address
- 3000 Essex Rd
Tinton Falls, NJ 07753-2631 - Phone
- (732) 643-2070
- Fax
- (732) 643-2015
- NPI assigned
- Jul 2, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 26N007564700 | NJ | Primary |
Addresses
Primary practice location
3000 Essex Rd
Tinton Falls, NJ 07753-2631
Mailing address
701 Maiden Choice LN
Catonsville, MD 21228-5968
Phone (732) 643-2070
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7700300 | Medicaid | NJ | |
| 8304132 | Other | EVERCARE | |
| 522114204B | Other | BCBS OF NJ |
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)
- Enrolled
- Credentials
- Certified Registered Nurse, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26N007564700 | NJ | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Erickson Health Medical Group of New Jersey PC | Adult Health | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Internal Medicine Physician
- Pompton Plains, NJ
- NPI 1992725832
Adult Health
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151798400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1252022400000",
"number": "1992734875",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "701 MAIDEN CHOICE LN",
"city": "CATONSVILLE",
"state": "MD",
"postal_code": "212285968",
"telephone_number": "732-643-2070",
"fax_number": "732-643-2015"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3000 ESSEX RD",
"city": "TINTON FALLS",
"state": "NJ",
"postal_code": "077532631",
"telephone_number": "732-643-2070",
"fax_number": "732-643-2015"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHANT",
"first_name": "DALE",
"credential": "CRNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-02",
"last_updated": "2009-09-04",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "NJ",
"license": "26N007564700",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7700300",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EVERCARE",
"identifier": "8304132",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF NJ",
"identifier": "522114204B",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tinton Falls, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.