Jidong Sun

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

MA70679 Issued in NJ

Practice address

1542 Kuser Rd Ste B3
Hamilton, NJ 08619-3829

Phone

(732) 888-3300

Fax

(732) 888-3116

NPI assigned

Jun 5, 2006

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NJ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physical Medicine and Rehabilitation

Education

Other, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

North East Anesthesia and Pain Associates LLCGroup PAC ID 6305093469, 7 clinicians

Gramercy Pain Center LLCGroup PAC ID 7618161654, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Bayshore Rehab Medicine, PC

  • Physical Medicine & Rehabilitation Physician
  • Holmdel, NJ
  • NPI 1033153135
  Medicare reassignment NPD Authorized official
• Gramercy Pain Center LLC

  • Interventional Pain Medicine Physician
  • Holmdel, NJ
  • NPI 1902125370
  Medicare reassignment Care Compare group NPD
• North East Anesthesia & Pain Associates LLC

  • Pain Medicine (Anesthesiology) Physician
  • Clifton, NJ
  • NPI 1023323581
  Medicare reassignment Care Compare group NPD
• Premier Spine & Pain Management PC

  • Interventional Pain Medicine Physician
  • Clifton, NJ
  • NPI 1518216092
  Medicare reassignment NPD
• Bell Wellness LLC

  • Multi-Specialty Clinic/Center
  • Holmdel, NJ
  • NPI 1396384848
  Medicare reassignment
• Premier Care Physical Therapy & Rehabilitation LLC

  • Physical Therapist
  • Edison, NJ
  • NPI 1144971854
  NPD
• Premier Spine & Pain Management PC

  • Interventional Pain Medicine Physician
  • Easton, PA
  • NPI 1528607140
  NPD
• Generations Physical Medicine LLC

  • Chiropractor
  • Middletown, NJ
  • NPI 1093878852
  NPD (past)
• Maximum Wellness Rehabilitation Center LLC

  • Physical Therapist
  • Toms River, NJ
  • NPI 1285147017

  Physical Medicine & Rehabilitation

  NPD (past)
• Union Medical, LLC

  • Physical Medicine & Rehabilitation Physician
  • Union, NJ
  • NPI 1417021841
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543881600000",
    "number": "1033158282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1542 KUSER RD STE B3",
            "city": "HAMILTON",
            "state": "NJ",
            "postal_code": "086193829",
            "telephone_number": "732-888-3300",
            "fax_number": "732-888-3116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1542 KUSER RD STE B3",
            "city": "HAMILTON",
            "state": "NJ",
            "postal_code": "086193829",
            "telephone_number": "732-888-3300",
            "fax_number": "732-888-3116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUN",
        "first_name": "JIDONG",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-05",
        "last_updated": "2018-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NJ",
            "license": "MA70679",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0073539",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alexandra Stueber
• Charles Frederick Stueber Jr., DAC, LAC, DIPL. AC
• Subramoni Physicians Associates PA
• Suburban Rehab LLC
• Suci Behavioral Health Services LLC
• Surgical Associates of Mercer & Monmouth, LLC
• Gerilyn Ann Suschke, LPC
• Jeffrey Myron Swerdlow, PT
• Swift Physical Therapy and Performance LLC
• Eileen M Swingle, RD

• Physical Medicine & Rehabilitation Physician in Hamilton, NJ
• Providers in Hamilton, NJ by specialty
• Physical Medicine & Rehabilitation Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.