Provider Demographics
NPI:1699797647
Name:VA NJHCS
Entity type:Organization
Organization Name:VA NJHCS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ATTENDING PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:TOM
Authorized Official - Middle Name:
Authorized Official - Last Name:CHIANG
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:973-676-1000
Mailing Address - Street 1:385 TREMONT AVE
Mailing Address - Street 2:DEPT. OF MEDICINE 111-ID
Mailing Address - City:EAST ORANGE
Mailing Address - State:NJ
Mailing Address - Zip Code:07018-1023
Mailing Address - Country:US
Mailing Address - Phone:973-676-1000
Mailing Address - Fax:973-395-7085
Practice Address - Street 1:385 TREMONT AVE
Practice Address - Street 2:DEPT. OF MEDICINE 111-ID
Practice Address - City:EAST ORANGE
Practice Address - State:NJ
Practice Address - Zip Code:07018-1023
Practice Address - Country:US
Practice Address - Phone:973-676-1000
Practice Address - Fax:973-395-7085
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-25
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY230410261QV0200X, 282NC0060X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered261QV0200XAmbulatory Health Care FacilitiesClinic/CenterVA
Not Answered282NC0060XHospitalsGeneral Acute Care HospitalCritical Access