JOSE R CHAN (MD) – Anesthesiology Physician, NPI 1083684419

Anesthesiology Physician

JOSE R CHAN (MD) is a healthcare provider. based in Newark, New Jersey. specializing in Anesthesiology Physician. They hold the professional credentials MD. They hold a License No. 25MA03608300 (NJ). The NPI Number for JOSE R CHAN (MD) is 1083684419

Main info

Male

54 Years Of Experience

Accepts Medicare Assignment

Name

JOSE R CHAN (MD)

NPI

1083684419

Phone

(201) 943-0034

Address

201 LYONS AVE

Enumeration Date

26 January 2006

Last Update Date

9 July 2007

Doctor Profile

Medical School Name

OTHER

Secondary Phone

9735335094

Graduation Year

1972 (54 years ago)

PAC ID

8729015847

Group Practice PAC ID

0042112500

Professional Enrollment ID

I20050720000843

Data current as of

19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience54

Completeness75

Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for JOSE R CHAN (MD)

Newark Beth Israel Medical Center, 201, Lyons Avenue, Newark, Essex County, New Jersey, 07112, United States
NEWARK, NJ 071122027
Phone: (201) 943-0034
Fax: (201) 943-8105
Type: Location
PO BOX 724
MILLBURN, NJ 070410724
Phone: (201) 943-0034
Fax: (201) 943-8105
Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 07112)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.

PAC ID: 0042112500View full group profile

Name	Specialty	State
MARK HAUSDORFF (M.D.)	-	NJ
ERIC FEIN (M.D.)	-	NJ
WIESLAW MAZUR (M.D.)	-	NJ
Unknown Individual	-	NJ
JEFFREY BROOKS GLADDING (MD)	A N E S T H E S I O L O G Y	NV
MICHAIL IOFFE (M.D.)	-	NJ
Unknown Individual	-	NV
DR. NAOMI SMUKLER (M.D.)	-	NY
KYOUNG MOON (MD)	-	NJ
DR. NEELIMA MYNENI (MD)	-	NJ

Reviews

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Frequently asked questions

What identifier follows JOSE R CHAN (MD) across health systems?

The NPI 1083684419 uniquely identifies JOSE R CHAN (MD) in U.S. healthcare data.

Is JOSE R CHAN (MD) currently accepting referrals based on NPI status?

Registry metadata lists JOSE R CHAN (MD) as active.

What does the directory say JOSE R CHAN (MD) does?

Insurance directories may phrase it differently, but here JOSE R CHAN (MD) maps to Anesthesiology Physician. Clinical services aligned with this taxonomy classification.

Can patients visit JOSE R CHAN (MD) in Newark, New Jersey?

For routing, start with Newark, New Jersey for JOSE R CHAN (MD), then verify phone and hours locally.

Can I export JOSE R CHAN (MD)'s record?

You can download the official NPPES record; we summarize key fields for readability.

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