1326314162 NPI number — MR. JOHN WAY CHIN R.PH. M.S.

Table of content: MR. JOHN WAY CHIN R.PH. M.S. (NPI 1326314162)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1326314162 NPI number — MR. JOHN WAY CHIN R.PH. M.S.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
CHIN
Provider First Name:
JOHN
Provider Middle Name:
WAY
Provider Name Prefix Text:
MR.
Provider Name Suffix Text:
Provider Credential Text:
R.PH. M.S.
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1326314162
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
03/27/2012
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
8 RIVIERA DRIVE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
MONROE TOWNSHIP
Provider Business Mailing Address State Name:
NJ
Provider Business Mailing Address Postal Code:
08831-8891
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
732-521-2698
Provider Business Mailing Address Fax Number:
732-521-2698

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
134 BRIGHTON AVENUE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
LONG BRANCH
Provider Business Practice Location Address State Name:
NJ
Provider Business Practice Location Address Postal Code:
07740
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
732-229-2400
Provider Business Practice Location Address Fax Number:
732-229-4205
Provider Enumeration Date:
03/27/2012

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 333600000X , with the licence number:  28RI02709000 , registered in the state of NJ ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 333600000X , with the licence number: 031551-1 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

Other Provider's Identifiers (legacy, non-NPI)