Provider Demographics
NPI:1851409650
Name:CHAE, SCOTT S (MD)
Entity Type:Individual
Prefix:DR
First Name:SCOTT
Middle Name:S
Last Name:CHAE
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 1:2 STATE ROUTE 27
Mailing Address - Street 2:SUITE 107
Mailing Address - City:EDISON
Mailing Address - State:NJ
Mailing Address - Zip Code:08820-3976
Mailing Address - Country:US
Mailing Address - Phone:732-632-9777
Mailing Address - Fax:732-632-8096
Practice Address - Street 1:2 STATE ROUTE 27
Practice Address - Street 2:SUITE 107
Practice Address - City:EDISON
Practice Address - State:NJ
Practice Address - Zip Code:08820-3961
Practice Address - Country:US
Practice Address - Phone:732-632-9777
Practice Address - Fax:732-632-8096
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-29
Last Update Date:2014-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA056559207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ1004599800OtherAMERICHOICE
NJ5457461OtherAETNA
NJ2110342000OtherAMERIHEALTH
NJ2K2314OtherHEALTHNET
NJ4564103Medicaid
NJP765009OtherOXFORD
NJ1168007OtherHORIZON
NJ15011OtherAMERIGROUP
NJ100016710OtherRAILROAD MCR
NJ9518278OtherCIGNA
NJ8211972OtherGHI
NJ4564103Medicaid
NJ1168007OtherHORIZON