| Courtney Alyssa Chavan, MSN, APN, FNP-C | |
|
1140 Route 72 W, Stafford Township, NJ 08050-2412 | |
| (609) 597-6011 | |
| (201) 968-0163 |
| Full Name | Courtney Alyssa Chavan |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 11 Years |
| Location | 1140 Route 72 W, Stafford Township, New Jersey |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780040337 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 26NJ00618300 (New Jersey) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Southern Ocean Medical Center | Manahawkin, NJ | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Plover Inpatient Services Llc | 1355561663 | 125 |
| Entity Name | Hackensack Meridian Health Medical Group - Specialty Care Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215989249 PECOS PAC ID: 9133032519 Enrollment ID: O20031111000524 |
| Entity Name | Plover Inpatient Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134534688 PECOS PAC ID: 1355561663 Enrollment ID: O20141009001113 |
| Mailing Address | Practice Location Address |
|---|---|
| Courtney Alyssa Chavan, MSN, APN, FNP-C 331 Newman Springs Rd Ste 220, Red Bank, NJ 07701-5792 Ph: (732) 807-0877 | Courtney Alyssa Chavan, MSN, APN, FNP-C 1140 Route 72 W, Stafford Township, NJ 08050-2412 Ph: (609) 597-6011 |
Maria Celina Gomez, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1140 Nj-72, Stafford Township, NJ 08050 Phone: 609-597-6011 | |
Elaine Espiritu-uy, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 853 Mill Creek Rd, Stafford Township, NJ 08050 Phone: 609-756-4667 |