Caleb Young-Ju Chung in Fort Lee - Primary Podiatric Medicine

Caleb Young-Ju Chung - NPI 1962440164

Caleb Young-Ju Chung is a Primary Podiatric Medicine in Fort Lee, New Jersey. Caleb Young-Ju Chung practices all healthcare services and medical treatments related to Primary Podiatric Medicine. The NPI Number for Caleb Young-Ju Chung is 1962440164. The last update date is 2022-07-15.

Caleb Young-Ju Chung's current location address is 570 Main St Ste 101, Fort Lee, New Jersey. You can contact this provider via phone number 2013631200 and fax number 2013631600. The mailing address for Caleb Young-Ju Chung is 570 Main St Ste 101, Fort Lee, New Jersey. To know further, please read the information below!

Provider Profile Detail

Provider Name Caleb Young-Ju Chung
Address 570 Main St Ste 101, Fort Lee, New Jersey
Phone Number 2013631200
Fax Number 2013631600
Sole Proprietor N
Credentials DPM

NPI Number Detail

NPI Number 1962440164
Provider Enumeration Date 2006-06-02
Last Updated Date 2022-07-15

Provider Mailing Address Detail

Address 570 Main St Ste 101
City Fort Lee
State New Jersey (NJ)
Post Code 70245058
Phone Number 2013631200
Fax Number 2013631600

Provider's Primary Taxonomy Detail

Speciality Primary Podiatric Medicine
Taxonomy 213Ep1101X
Licence No 25MD00263100
Definition:
A doctor of podiatric medicine expert in general podiatry health services related to medical diagnoses and treatment of the foot, ankle and lower extremities.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1953226 NJ FIRST HEALTH
38688 NJ MASTERCARE
2289032 NJ UNITEDHEALTH PLAN
8891202002 NJ CIGNA
PG6032 NJ WELL CHOICE
1147720 NJ HORIZON NJ HEALTH
1K8521 NJ HEALTHNET
2106180000 NJ AMERIHEALTH
33046 NJ UNIVERSITY HEALTH PLAN
967806 NJ ONE HEALTH PLAN

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FAQs about Caleb Young-Ju Chung

What is the unique 10-digit identifier code assigned to Caleb Young-Ju Chung by the Centers for Medicare & Medicaid Services?

The Caleb Young-Ju Chung has been issued the NPI (National Provider Identifier) 1962440164 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Can you provide the Caleb Young-Ju Chung's physical address?

The Caleb Young-Ju Chung is physically located at 570 Main St Ste 101, in the city of Fort Lee, NJ, with the postal code 70245058.

What is Caleb Young-Ju Chung's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Caleb Young-Ju Chung is Primary Podiatric Medicine, and the taxonomy classification code that categorizes this area of expertise is 213Ep1101X.

On what date did the Caleb Young-Ju Chung receive the assignment of its 1962440164 from the Centers for Medicare & Medicaid Services?

The Caleb Young-Ju Chung was issued its 1962440164 by the Centers for Medicare & Medicaid Services on 2006-06-02.

When was the information regarding Caleb Young-Ju Chung most recently updated?

The details pertaining to the Caleb Young-Ju Chung, including its address, specialty, and other relevant information, were last refreshed on 2022-07-15.

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