Provider Demographics
NPI:1184608549
Name:DAVE, CHHAYA Y (MD)
Entity type:Individual
Prefix:DR
First Name:CHHAYA
Middle Name:Y
Last Name:DAVE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 COMMERCE DR
Mailing Address - Street 2:
Mailing Address - City:NEW ROCHELLE
Mailing Address - State:NY
Mailing Address - Zip Code:10801-5214
Mailing Address - Country:US
Mailing Address - Phone:914-637-3510
Mailing Address - Fax:914-819-0061
Practice Address - Street 1:1000 SALEM RD
Practice Address - Street 2:SUITE B
Practice Address - City:WILLINGBORO
Practice Address - State:NJ
Practice Address - Zip Code:08046-2852
Practice Address - Country:US
Practice Address - Phone:877-476-6642
Practice Address - Fax:914-819-0061
Is Sole Proprietor?:No
Enumeration Date:2005-11-30
Last Update Date:2021-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA06370700207L00000X
NY184185207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01351564Medicaid
NY01351564Medicaid
NY46K51YRXP1Medicare PIN
NY46K51ZXWW1Medicare PIN
NJ058250RJ0Medicare PIN
NY46K51ZT5H1Medicare PIN
NY046K51Medicare PIN