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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. JOHN FREDERICK CHAMBLISS, MS PAC

Deactivated

MR. JOHN FREDERICK CHAMBLISS, MS PAC is a Physician Assistant healthcare provider located in EAST WINDSOR, New Jersey. NPI 1184690406 is deactivated in the NPPES registry. Verify at CMS.

Physician Assistant · EAST WINDSOR, NJ

This NPI has been deactivated. The record was deactivated on July 7, 2022. Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated. Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.

Registration Details

NPI Number
1184690406
Provider Type
Individual
Gender
Male
NPI Issued
Feb 27, 2006 (16.356164383562 yrs)
Last Updated
Oct 12, 2022
Deactivated
Jul 7, 2022
Licenses
10785 (GA)
10785 (GA)
25MP00040300 (NJ)

Practice Information

Address
59 ONE MILE RD
STE G
EAST WINDSOR, NJ, 08520
Browse NJ providers · Browse ZIP 08520
Phone
6094434500
Fax
6094434808
Primary Specialty
Physician Assistant
363A00000X
Additional Specialty
Surgical Physician Assistant
Additional Specialty
Physician Assistant

Other Physician Assistant Providers in EAST WINDSOR, NJ

Name Credential NPI
MR. MICHAEL P DESCH PA-C 1164676474
EDWARD JOSEPH GOSTKOWSKI PA-C 1184917049
AMANDA MORRIS 1174976799
ALEXA MARIE HETZEL PA-C 1851887301
MS. ALEXA NAPPI PA-C 1255990651
HARIKA VEMULAPALLI PA-C 1063197390
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.