Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 213E00000X | Podiatrist | 25MD00263100 | NJ |
N | 222Z00000X | Podiatrist | 25MD00263100 | NJ |
N | 213EP1101X | Primary Podiatric Medicine | 25MD00263100 | NJ |
N | 111NR0200X | Radiology | 25MD00263100 | NJ |
N | 213ER0200X | Radiology | 25MD00263100 | NJ |
N | 213ES0131X | Foot Surgery | 25MD00263100 | NJ |
NPI | 1962440164 |
---|---|
Provider Name | Dr. Caleb Young-Ju Chung |
First Address | Palisades Park, NJ 07650-1569 |
Second Address | Palisades Park, NJ 07650-1569 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/06/2006 |
Last Update Date | 09/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1147720 | HORIZON NJ HEALTH (01) | NJ |
1953226 | FIRST HEALTH (01) | NJ |
1K8521 | HEALTHNET (01) | NJ |
2106180000 | AMERIHEALTH (01) | NJ |
2289032 | UNITEDHEALTH PLAN (01) | NJ |
33046 | UNIVERSITY HEALTH PLAN (01) | NJ |
38688 | MASTERCARE (01) | NJ |
51508 | AMERIGROUP (01) | NJ |
85344 | OPERATING ENG LOCAL 825 (01) | NJ |
8569207 | (05) | NJ |
8891202002 | CIGNA (01) | NJ |
967806 | ONE HEALTH PLAN (01) | NJ |
P2525266 | OXFORD (01) | NJ |
PG6032 | WELL CHOICE (01) | NJ |
U84105 | (02) | NJ |