Individual provider Active NPI

Jessica Chow, D.O.

  • Family Medicine Physician
  • Wayne, NJ
National Provider Identifier
1992950232
Registry record updated Jun 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
25MB08815300 Issued in NJ
Practice address
516 Hamburg Tpke Ste 5
Wayne, NJ 07470
Phone
(973) 925-7770
Fax
(973) 925-7772
NPI assigned
Dec 1, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 25MB08815300 NJ Primary

Addresses

Primary practice location

516 Hamburg Tpke Ste 5
Wayne, NJ 07470

Mailing address

516 Hamburg Tpke Ste 5
Wayne, NJ 07470-2063
Phone (973) 925-7770

Other identifiers 1

IdentifierTypeStateIssuer
0291421MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, CA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20120131000813 NJ Practitioner - Family Practice 5698932861 Reassigns benefits to 5 organizations
I20160315001050 CA Practitioner - Family Practice 5698932861 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Rutgers New Jersey Medical School, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Health Consultants of North JerseyGroup PAC ID 7810266855, 3 clinicians

Practice addresses (Care Compare)

516 Hamburg Tpke
Suite 5
Wayne, NJ 07470-2063
Phone (973) 925-7770

Hospital & facility affiliations

  • St Joseph'S University Medical Center Inc Hospital, Paterson, NJ, CCN 310019

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MB08815300NJMDFamily Medicine Physician
11570CAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Family Health Centers of San Diego, Inc Current Accepting new patients
Garden State Healthcare Associates, LLC CurrentSince Sep 14, 2020 Accepting new patients
Transpacific Wellness P.C. CurrentSince Mar 1, 2023 Accepting new patients
Family Health Centers of San Diego, Inc CurrentSince Mar 2, 2016 Accepting new patients
Family Health Centers of San Diego, Inc CurrentSince Mar 2, 2016 Accepting new patients
Browne Medical, LLC CurrentSince Aug 1, 2016 Accepting new patients
Health Consultants of North Jersey Family Medicine CurrentSince May 2, 2017 Accepting new patients
SKR Medical Advisors CurrentSince Jun 26, 2018 Accepting new patients
The Radiology Group of New Jersey, LLC CurrentSince Mar 1, 2023 Accepting new patients
Monmouth Digestive Health LLC PastSince Aug 17, 2020 Accepting new patients

Locations

1809 National Ave
San Diego, CA 92113
Phone (619) 515-2500

823 Gateway Center Way
San Diego, CA 92102
Phone (619) 515-2323

1140 State Route 34
Aberdeen, NJ 07747
Phone (732) 583-5100

145 Wyckoff Rd
Ste 201
Eatontown, NJ 07724
Phone (732) 597-7333

725 River Rd
Ste 214
Edgewater, NJ 07020
Phone (201) 581-8553

725 River Rd
Ste 202
Edgewater, NJ 07020
Phone (201) 943-4040

651 Willow Grove St
Hackettstown, NJ 07840
Phone (908) 441-1161

57 US Highway 46
Ste 212
Hackettstown, NJ 07840

308 Willow Ave
Hoboken, NJ 07030
Phone (201) 418-1574

560 New York Ave
Lyndhurst, NJ 07071
Phone (201) 345-3839

175 High St
Newton, NJ 07860
Phone (973) 383-2121

2100 88th St
Bldg G1A
North Bergen, NJ 07047
Phone (201) 773-1360

2100 88th St
Bldg G
North Bergen, NJ 07047
Phone (201) 345-3839

907 Oak Tree Ave
Ste H
South Plainfield, NJ 07080
Phone (908) 222-3500

516 Hamburg Tpke
Ste 5
Wayne, NJ 07470
Phone (973) 790-8604

510 Hamburg Tpke
Ste 201
Wayne, NJ 07470
Phone (973) 790-3232

Organizations & group practices 10

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 1

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": "1228089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528329600000",
    "number": "1992950232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "516 HAMBURG TPKE STE 5",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074702063",
            "telephone_number": "973-925-7770",
            "fax_number": "973-925-7772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "516 HAMBURG TPKE STE 5",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "07470",
            "telephone_number": "973-925-7770",
            "fax_number": "973-925-7772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHOW",
        "first_name": "JESSICA",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-12-01",
        "last_updated": "2018-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MB08815300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0291421",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wayne, NJ

Sources for this page

Verify at the official NPI Registry.