Look up the most recent NPI and PECOS records

Russell Chan

Emergency Medicine

Allopathic & Osteopathic Physicians

100 Madison Ave, Morristown, NJ 07960-6136

PECOS Enrollment

Based on the most recent information from CMS, provider Russell Chan is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1801213640
Provider Type
Individual
Full Name
Chan, Russell
Credential
DO

Gender
Male
Sole Proprietor
Yes
Enumeration Date
3/18/2014
Last Updated
11/8/2017

Contact Information

Practice Location

100 Madison Ave, Morristown, NJ 07960-6136

(973) 971-7926

(973) 290-7202

Mailing Location

100 Madison Ave, Morristown, NJ 07960-6136

(973) 971-7926

(973) 290-7202

Provider Taxonomies

Code	Description	License
Code 207P00000X Primary	Description Emergency Medicine Allopathic & Osteopathic Physicians	License 25MB09635100 New Jersey

Russell Chan

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Troncoso, Alexis B.

Difazio, Louis Thomas

Isenberg, Taylor

Nevins, Sol

Gohsler, Steven

Atlantic Health Partners

Ritter, Albert

Castillo, David Cinco

Rogers, Richard David

Peek, Erin Heritage