Provider Demographics
NPI:1417934068
Name:CHIN, DARREN S (MD)
Entity Type:Individual
Prefix:DR
First Name:DARREN
Middle Name:S
Last Name:CHIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1765 E 2ND ST
Mailing Address - Street 2:
Mailing Address - City:SCOTCH PLAINS
Mailing Address - State:NJ
Mailing Address - Zip Code:07076-1737
Mailing Address - Country:US
Mailing Address - Phone:908-322-2490
Mailing Address - Fax:888-364-8160
Practice Address - Street 1:1765 E 2ND ST
Practice Address - Street 2:
Practice Address - City:SCOTCH PLAINS
Practice Address - State:NJ
Practice Address - Zip Code:07076-1737
Practice Address - Country:US
Practice Address - Phone:908-322-2490
Practice Address - Fax:888-364-8160
Is Sole Proprietor?:Yes
Enumeration Date:2005-12-26
Last Update Date:2013-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA68662207Q00000X
NJMA068662207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ115541400OtherFIRST HEALTH
NJK1194OtherBLUE CROSS BLUE SHIELD
NJP00075051OtherRAILROAD MEDICARE
NJP00075051OtherRAILROAD MEDICARE
G89876Medicare UPIN
NJK1194OtherBLUE CROSS BLUE SHIELD
026043Medicare ID - Type UnspecifiedINDIVIDUAL MEDICARE #