Individual provider Active NPI

Chih-Lung Chen, MD

  • Emergency Medicine Physician
  • Philadelphia, PA
National Provider Identifier
1104934348
Registry record updated Apr 19, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
25MA08904500 Issued in NJ
Practice address
1020 Sansom St
Suite 239
Philadelphia, PA 19107-5002
Phone
(215) 955-6844
Fax
(215) 955-2526
NPI assigned
Aug 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2017

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 38397 KY
Emergency Medicine Physician 207P00000X MD-065522-L PA
Emergency Medicine Physician 207P00000X 25MA08904500 NJ Primary

Addresses

Primary practice location

1020 Sansom St
Suite 239
Philadelphia, PA 19107-5002

Mailing address

1020 Sansom St
Suite 239
Philadelphia, PA 19107-5002
Phone (215) 955-6844

Other identifiers 3

IdentifierTypeStateIssuer
64069057MedicaidKY
7721609MedicaidNJ
0017125320003MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NJ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20090123000068 PA Practitioner - Emergency Medicine 9739078031 Reassigns benefits to 2 organizations
I20111227000266 NJ Practitioner - Emergency Medicine 9739078031 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cape Regional Urgent Care LLCGroup PAC ID 5395861728, 36 clinicians
Inspira Health Network Urgent Care PCGroup PAC ID 2769657659, 43 clinicians
Atlanticare Physician Group PAGroup PAC ID 8527953660, 506 clinicians

Practice addresses (Care Compare)

11 Court House S Dennis Rd
Suite 3
Cape May Court House, NJ 08210-2150
Phone (609) 465-6364

200 Rowan Blvd
Glassboro, NJ 08028-2260
Phone (856) 582-1500

2500 English Creek Ave
Suite 909
Egg Harbor Township, NJ 08234-5587
Phone (609) 407-2273

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD-065522-LPAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Atlanticare Physician Group, PA CurrentSince Feb 11, 2017 Accepting new patients
Cape Regional Urgent Care LLC CurrentSince Mar 6, 2017 Accepting new patients
Haddon Emergency Physicians LLC Emergency Medicine CurrentSince Nov 15, 2011 Accepting new patients
Saint Peter'S Healthcare System Physician Associates CurrentSince Oct 18, 2013 Accepting new patients
Atlanticare Urgent Care Physicians LLC CurrentSince Jan 12, 2013 Accepting new patients
Jefferson Acute Care Physicians, PC CurrentSince Mar 9, 2015 Accepting new patients
Cape Regional Urgent Care LLC CurrentSince Mar 6, 2017 Accepting new patients
Jefferson University Physicians Emergency Medicine CurrentSince Nov 1, 2008 Accepting new patients
Jefferson Acute Care Physicians, PC CurrentSince Mar 9, 2015 Accepting new patients
Atlanticare Physician Group PA CurrentSince Feb 11, 2017 Accepting new patients
Inspira Health Network Urgent Care, P.C. CurrentSince Sep 14, 2017 Accepting new patients
Ashland Emergency Medical Associates Emergency Medicine Past Accepting new patients
Inspira Health Network Medical Group, P.C. Past Accepting new patients
South Jersey Urgicare LLC PastSince Jul 1, 2014 Accepting new patients

Locations

1600 Haddon Ave
Camden, NJ 08103
Phone (609) 757-3500

11 Court House South Dennis Rd
Ste 3
Cape May Court House, NJ 08210
Phone (609) 465-6364

2500 English Creek Ave
Ste 909
Egg Harbor Twp, NJ 08234
Phone (609) 407-2380

110 E Jimmie Leeds Rd
Galloway, NJ 08205
Phone (609) 408-4971

1120 Delsea Dr N
Glassboro, NJ 08028
Phone (856) 205-7071

200 Rowan Blvd
Glassboro, NJ 08028
Phone (856) 582-0500

459 Route 9 S
Little Egg Harbor Twp, NJ 08087
Phone (609) 340-7815

3131 Route 38
Ste 13
Mount Laurel, NJ 08054
Phone (856) 866-8700

240 Easton Ave
Fl 3
New Brunswick, NJ 08901
Phone (732) 565-5453

2301 S Broad St
Fl 1
Philadelphia, PA 19148
Phone (215) 952-9136

1020 Sansom St
Bldg 1ST
Philadelphia, PA 19107

1020 Sansom St
Ste 239
Philadelphia, PA 19107
Phone (215) 955-6844

925 Chestnut St
Fl 6
Philadelphia, PA 19107
Phone (215) 955-6760

Organizations & group practices 15

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.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1156723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492560000000",
    "number": "1104934348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 SANSOM ST",
            "address_2": "SUITE 239",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191075002",
            "telephone_number": "215-955-6844",
            "fax_number": "215-955-2526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 SANSOM ST",
            "address_2": "SUITE 239",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191075002",
            "telephone_number": "215-955-6844",
            "fax_number": "215-955-2526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHEN",
        "first_name": "CHIH-LUNG",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-28",
        "last_updated": "2017-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "KY",
            "license": "38397",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "PA",
            "license": "MD-065522-L",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NJ",
            "license": "25MA08904500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64069057",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7721609",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0017125320003",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.