MEDICARE: MAYUR CHALIA M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084N0400X	Neurology Physician	341713-01	NY
2	2084N0400X	Neurology Physician	25MA12155100	NJ

General Provider Information

NPI Number	:	1184009888
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MAYUR CHALIA M.D.

Provider Business Mailing Address
First Line	:	100 ROUTE 59 STE 101
Second Line	:
City	:	SUFFERN
State	:	NY
Zip	:	10901-4927
Country	:	US
Telephone Number	:	845-368-8808
Fax Number	:

Provider Business Practice Location Address
First Line	:	100 ROUTE 59 STE 101
Second Line	:
City	:	SUFFERN
State	:	NY
Zip	:	10901-4927
Country	:	US
Telephone Number	:	845-368-8808
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/23/2015
Last Update Date	:	06/01/2026

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Directions to “ MAYUR CHALIA M.D.” Practice Location

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