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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2086S0122X |
Surgery Specialization: Plastic and Reconstructive Surgery |
25MA05905100 | NJ | Allopathic & Osteopathic Physicians |
Street Address |
107 MONMOUTH RD SUITE 106 |
City | WEST LONG BRANCH |
State | NJ |
Zip Code | 07764-1000 |
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 |
Find all providers in the same location |
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 |
Find all providers in zip 07764 |
Taxonomy Code | 2086S0122X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Surgery |
Specialization | Plastic and Reconstructive Surgery |
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. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033107669 | Boris Volshteyn | Surgery | 107 Monmouth Rd Ste 102, West Long Branch, NJ 07764-1021 | 2005-10-07 |
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 |
Find all providers with the same taxonomy |
City | WEST LONG BRANCH |
Zip Code | 07764 |
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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.