STEPHEN A CHIDYLLO


Address: 107 Monmouth Rd, Suite 106, West Long Branch, NJ 07764-1000
Phone: 7324609566

STEPHEN A CHIDYLLO (NPI# 1578547311) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1578547311
Entity Type Individual
Full Name STEPHEN A CHIDYLLO
Credential M.D.
Practice Address 107 Monmouth Rd
Suite 106
West Long Branch
NJ 07764-1000
Practice Telephone 7324609566
Practice Fax Number 7324609569
Mailing Telephone 7324609566
Mailing Fax Number 7324609569
Enumeration Date 2005-12-05
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2086S0122X Surgery
Specialization: Plastic and Reconstructive Surgery
25MA05905100 NJ Allopathic & Osteopathic Physicians

Office Location

Street Address 107 MONMOUTH RD
SUITE 106
City WEST LONG BRANCH
State NJ
Zip Code 07764-1000

Providers in the same location

NPI Name Taxonomy Address Enumeration
1841296308 Richard B Lubitz Dentist 107 Monmouth Rd, Ste 107, West Long Branch, NJ 07764-1021 2005-06-21
1548700784 So's Family Wellness LLC Acupuncturist 107 Monmouth Rd, Suite 109, West Long Branch, NJ 07764-1000 2017-03-07
1699188359 Lifestyles Medical Social Worker 107 Monmouth Rd, Suite 104 D, West Long Branch, NJ 07764-1021 2014-06-10
1609212349 Lauren Salani Social Worker 107 Monmouth Rd, Suite 104, West Long Branch, NJ 07764-1000 2013-05-21
1932473576 Shore Physicians for Alternative Medicine PC Clinic/Center 107 Monmouth Rd, Ste 104, West Long Branch, NJ 07764-1000 2012-02-29
1649543273 Physicians for Alternative Medicine Social Worker 107 Monmouth Rd, Suite 104, West Long Branch, NJ 07764-1000 2012-02-13
1629238860 Matthew Jared Davis Psychiatry & Neurology 107 Monmouth Rd, #110, West Long Branch, NJ 07764-1000 2008-06-11
1932300134 Vinson Michael Disanto I Family Medicine 107 Monmouth Rd, Suite 104, West Long Branch, NJ 07764-1000 2007-05-29
1265641070 Joshua Todd Mendelson Psychiatry & Neurology 107 Monmouth Rd, Suite 110, West Long Branch, NJ 07764-1000 2007-05-21
1720202278 Dakshesh K. Patel Specialist 107 Monmouth Rd, #110, West Long Branch, NJ 07764 2007-04-13
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1659854461 Melanie Ramp Nurse Practitioner 100 Route 36, Suite 2k Vantage Point Bldg, West Long Branch, NJ 07764 2018-09-08
1154849750 Rosbel Maria Puello Counselor 232 Norwood Avenue Building #2, West Long Branch, NJ 07764 2017-09-03
1821445594 Jsr Medical Services LLC Clinic/Center 214 State Highway 36, Suite 5, West Long Branch, NJ 07764 2016-05-23
1265831259 Allied Digestive Health, LLC Anesthesiology 187 Route 36, Monmouth Corporate Park Center I;building A, Suite 230, West Long Beach, NJ 07764 2014-08-15
1669891180 Christopher Charles Gillis Neurological Surgery 121 Route 36 Ste 330, West Long Branch, NJ 07764 2014-04-11
1336485309 Christopher Ralph Castellano Physician Assistant Afc Urgent Care, 214 State Highway 36, West Long Beach, NJ 07764 2012-12-19
1457687337 Danielle Monti Pfeiffer Counselor 232 Norwood Avenue, Building 2, West Long Branch, NJ 07764 2009-10-27
1770741084 Subha Sundararajan Internal Medicine 60 Highway 35, Suite B, West Long Branch, NJ 07764 2008-05-23
1033376157 Alexander G Lasalle Social Worker 24 Walnut Place, West Long Branch, NJ 07764 2008-05-16
1962610485 Richard Dean Isaacson Dentist 103 Parker Road, West Long Branch, NJ 07764 2007-05-18
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Taxonomy Information

Taxonomy Code 2086S0122X
Grouping Allopathic & Osteopathic Physicians
Classification Surgery
Specialization Plastic and Reconstructive Surgery

Taxonomy Definition

A surgeon who specializes in plastic and reconstructive surgery.
Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Surgery.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1033107669 Boris Volshteyn Surgery 107 Monmouth Rd Ste 102, West Long Branch, NJ 07764-1021 2005-10-07

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1356805402 Sr Plastic Surgery PC Surgery 2 Cornwall Dr, Unit B2, East Brunswick, NJ 08816 2019-01-23
1639655871 Center for Plastic Cosmetic and Hand Surgery PC Surgery 127 Church Rd Ste 100, Marlton, NJ 08053-9402 2018-07-11
1265745111 Jain Joseph Surgery 1 Diamond Hill Rd Fl 1, Berkeley Heights, NJ 07922 2010-07-21
1669631362 Atlantic Plastic and Hand Surgery, Pa Surgery 2 Route 27, Suite 508, Edison, NJ 08820-3961 2008-06-06
1588877823 Metamorphosis Plastic Surgery Surgery 42 Brook Drive South, New Vernon, NJ 07976 2007-05-07
1790824589 Michael Rosen Md PC Surgery 1114 Hooper Ave, Toms River, NJ 08753-8325 2007-02-06
1447319777 Paul H Rosenberg Surgery 1567 Palisade Ave 3rd Floor, Fort Lee, NJ 07024-6923 2006-12-06
1982783890 John Mesa Surgery 200 S Orange Ave Ste 255, Livingston, NJ 07039 2006-11-02
1538264676 Jamsheed Khodadad Najmi Surgery 8 Woodstock Ln, Annandale, NJ 08801-3425 2006-09-13
1790893998 Paul Joseph Vallone Surgery 369 West Blackwell St, Dover, NJ 07801-2545 2006-08-28
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Competitor

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City WEST LONG BRANCH
Zip Code 07764

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Dataset Information

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.

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