Chase Medical Group, Pc

LBN: Chase Medical Group, Pc
Chase Medical Group, Pc is an health care organization with primary practice located at 19-21 Fair Lawn Ave , Fair Lawn NJ 07410-2331. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Chase Medical Group, Pc can be contacted via phone (201) 791-8689, or through Levykh-Chase, Rena via phone (201) 791-8689.

Contact Information

Primary practice address
19-21 Fair Lawn Ave Fair Lawn NJ 07410-2331
Phone: (201) 791-8689
Fax: (201) 791-2589
Website:
Map and Directions
Authorized official contact:
Name: Levykh-Chase, Rena Doctor of Medicine (MD)
Phone: (201) 791-8689

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MA69109 New Jersey

Profile Details

NPI number 1417150293
LBN Legal business name Chase Medical Group, Pc
DBA Doing business as
Authorized official Levykh-Chase, Rena Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 7th, 2007
Last updated Jan 15th, 2013 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1417150293 NPPES
New Jersey MEDICAID 8296804

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