IVAN CHEN (NPI# 1467632364) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467632364 |
| Entity Type | Individual |
| Full Name | IVAN CHEN |
| Credential | M.D. |
| Practice Address |
905 Allwood Rd Ste 200 Clifton NJ 07012-1945 |
| Practice Telephone | 9738150003 |
| Mailing Telephone | 9738150003 |
| Enumeration Date | 2007-11-07 |
| Last Update Date | 2016-01-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2081P2900X |
Physical Medicine & Rehabilitation Specialization: Pain Medicine |
25MA08494200 | NJ | Allopathic & Osteopathic Physicians |
| N | 2081P2900X |
Physical Medicine & Rehabilitation Specialization: Pain Medicine |
A102180 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
905 ALLWOOD RD STE 200 |
| City | CLIFTON |
| State | NJ |
| Zip Code | 07012-1945 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841293024 | Elizabeth Coll | Nurse Practitioner | 905 Allwood Rd, Suite 204, Clifton, NJ 07012-1945 | 2005-05-23 |
| 1831735166 | One Oak Medical Group, LLC | Specialist | 905 Allwood Rd, Clifton, NJ 07012-1945 | 2019-11-21 |
| 1346881836 | Carmen Kotry | Physician Assistant | 905 Allwood Rd, Clifton, NJ 07012-1945 | 2019-10-05 |
| 1427281351 | The Clifton Center for Oral Surgery and Jaw Reconstruction LLC | Clinic/Center | 905 Allwood Rd, Suite 202, Clifton, NJ 07012-1945 | 2009-08-26 |
| 1801031620 | Timothy M White | Physician Assistant | 905 Allwood Rd, Suite 204, Clifton, NJ 07012-1933 | 2008-12-08 |
| 1518037068 | General and Vascular Surgical Associates of North Jersey, P.a. | Surgery | 905 Allwood Rd, Suite 204, Clifton, NJ 07012-1933 | 2006-11-09 |
| 1871681163 | Joseph Benjamin Baratta | Surgery | 905 Allwood Rd, Suite 204, Clifton, NJ 07012-1933 | 2006-10-11 |
| 1497704373 | Anil Agarwal | Internal Medicine | 905 Allwood Rd, Suite 101, Clifton, NJ 07012-1933 | 2006-05-09 |
| 1023075991 | Meenoo Agarwal | Anesthesiology | 905 Allwood Rd, Suite 101, Clifton, NJ 07012-1945 | 2006-04-26 |
| 1063407674 | Neurology Group of North Jersey Pa | Psychiatry & Neurology | 905 Allwood Rd, Suite 105, Clifton, NJ 07012-1946 | 2005-09-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528428307 | Sofia Konvitz | Behavioral Analyst | 743 Passaic Ave, Suite 109, Clifton, NJ 07012 | 2016-03-07 |
| 1881065118 | Renita Farkas I | Registered Nurse | 777 Bloomfield Avenue, Clifton, NJ 07012 | 2015-10-13 |
| 1619374402 | Lorraine Brenner | Dentist | 1053 Bloomfield Ave Ste 14, Clifton, NJ 07012 | 2014-11-23 |
| 1861897878 | Melissa Langewisch | General Acute Care Hospital | 3 Englewood Road, Clifton, NJ 07012 | 2014-11-03 |
| 1043637192 | Fadwa Sumrein | Internal Medicine | 2 Brighton Rd Ste 400, Clifton, NJ 07012 | 2014-03-26 |
| 1386067841 | Rita Mary Grazulis | Dentist | 91 Nugent Drive, Clifton, NJ 07012 | 2014-02-03 |
| 1366721573 | John P Castronova | Dentist | 79 Ave U, Brooklyn, NJ 07012 | 2011-08-05 |
| 1477849164 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 550 Allwood Rd, Clifton, NJ 07012 | 2011-06-22 |
| 1487805784 | Dron Gauchan | Internal Medicine | 74a Richfield Ct, Clifton, NJ 07012 | 2008-10-05 |
| 1497930283 | Coreen Christie | Counselor | 777 Bloomfiled Ave, Suite B, Clifton, NJ 07012 | 2007-12-31 |
| Find all providers in zip 07012 | ||||
| Taxonomy Code | 2081P2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Specialization | Pain Medicine |
| A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source changed] Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. A subspecialty certificate was approved by the ABMS in 1999. ACGME Accredited Residency Program Requirements: Proposal under development. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588843163 | Clifton Daniel Burt | Physical Medicine & Rehabilitation | 176 Maplewood Ave, Clifton, NJ 07013-1157 | 2007-10-30 |
| 1912551243 | Clifton Pain & Vein LLC | Physical Medicine & Rehabilitation | 1060 Clifton Ave, Clifton, NJ 07013-3638 | 2019-07-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144846239 | Ferrer Pain Management and Electrodiagnostics LLC | Physical Medicine & Rehabilitation | 647 Main Ave Ste 202, Passaic, NJ 07055-4962 | 2020-06-24 |
| 1700416492 | Nj Vora Health P.c | Physical Medicine & Rehabilitation | 1651 Federspiel St, Fort Lee, NJ 07024-6940 | 2020-01-22 |
| 1659919579 | Amanda Rodriguez | Physical Medicine & Rehabilitation | 50 Galesi Dr Ste 8, Wayne, NJ 07470-4842 | 2019-12-11 |
| 1376006486 | Mgv Medical, LLC | Physical Medicine & Rehabilitation | 48 S Franklin Tpke Ste 104, Ramsey, NJ 07446-2558 | 2019-04-08 |
| 1780157222 | Advanced Spine and Pain LLC | Physical Medicine & Rehabilitation | 432 Lakehurst Rd Fl 1, Toms River, NJ 08755-7333 | 2019-01-08 |
| 1477032894 | Phoenix Spine and Regenerative Orthopedics LLC | Physical Medicine & Rehabilitation | 105 Raider Blvd Ste 208, Hillsborough, NJ 08844-1528 | 2018-08-07 |
| 1275046724 | Advanced Spine and Pain, LLC | Physical Medicine & Rehabilitation | 1820 Corlies Ave Ste 10a, Neptune, NJ 07753-4860 | 2017-11-07 |
| 1225558596 | Sirona Healthcare LLC | Physical Medicine & Rehabilitation | 2740 Route 10 West, Suite 104, Morris Plains, NJ 07950 | 2017-06-27 |
| 1275053563 | Prime Painmanagement PC | Physical Medicine & Rehabilitation | 118-126 Broad Avenue, Unit 11, Palisades Park, NJ 07650 | 2017-06-27 |
| 1528588829 | Neurological Associates of Newark LLC | Physical Medicine & Rehabilitation | 85 S Harrison St Ste 204, East Orange, NJ 07018-1740 | 2017-06-27 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on IVAN CHEN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.