Provider Demographics
NPI:1083927990
Name:ANTOINE C. CHAKER, M.D., P.A.
Entity Type:Organization
Organization Name:ANTOINE C. CHAKER, M.D., P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:ANTOINE
Authorized Official - Middle Name:C
Authorized Official - Last Name:CHAKER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:732-341-7400
Mailing Address - Street 1:20 HOSPITAL DR
Mailing Address - Street 2:SUITE 18
Mailing Address - City:TOMS RIVER
Mailing Address - State:NJ
Mailing Address - Zip Code:08755-6434
Mailing Address - Country:US
Mailing Address - Phone:732-341-7400
Mailing Address - Fax:732-341-7904
Practice Address - Street 1:20 HOSPITAL DR
Practice Address - Street 2:SUITE 18
Practice Address - City:TOMS RIVER
Practice Address - State:NJ
Practice Address - Zip Code:08755-6434
Practice Address - Country:US
Practice Address - Phone:732-341-7400
Practice Address - Fax:732-341-7904
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-07-20
Last Update Date:2010-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207YX0905XAllopathic & Osteopathic PhysiciansOtolaryngologyOtolaryngology/Facial Plastic SurgeryGroup - Multi-Specialty
No207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngologyGroup - Multi-Specialty
No207YS0123XAllopathic & Osteopathic PhysiciansOtolaryngologyFacial Plastic SurgeryGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJC52734Medicare UPIN
NJ042679Medicare PIN