Individual provider Active NPI

Chee Chun Tan, M.D.

  • Pediatric Pulmonology Physician
  • Neptune, NJ
National Provider Identifier
1114185915
Registry record updated May 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Pulmonology PhysicianTaxonomy code 2080P0214X
License
25MA10894600 Issued in NJ
Practice address
19 Davis Ave FL 5
Neptune, NJ 07753-4488
Phone
(732) 776-4268
Fax
(732) 776-3178
NPI assigned
May 28, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 13, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Pulmonology Physician 2080P0214X 25MA10894600 NJ Primary

Addresses

Primary practice location

19 Davis Ave FL 5
Neptune, NJ 07753-4488

Mailing address

19 Davis Ave FL 5
Neptune, NJ 07753-4488
Phone (732) 776-4268

Other identifiers 1

IdentifierTypeStateIssuer
0751715MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT, 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
I20130709000796 UT Practitioner - Pediatric Medicine 9234379595 Reassigns benefits to 2 organizations
I20200818001496 NJ Practitioner - Pediatric Medicine 9234379595 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hackensack Meridian Health Medical Group - Specialty Care PC CurrentSince Jan 27, 2023 Accepting new patients
Ihc Health Services, Inc. CurrentSince Feb 11, 2018 Accepting new patients
University of Utah Pediatric Services CurrentSince Aug 15, 2017 Accepting new patients
Ihc Health Services Inc CurrentSince Feb 11, 2018 Accepting new patients
University of Utah Pediatric Services CurrentSince Aug 15, 2017 Accepting new patients
Hackensack Meridian Health Medical Group - Specialty Care PC CurrentSince Jan 27, 2023 Accepting new patients
Hackensack Meridian Health Medical Group - Complex Care PC CurrentSince Sep 1, 2020 Accepting new patients
University of Utah Pediatric Services Current Accepting new patients
Ihc Health Services Inc Current Accepting new patients
Hackensack Meridian Health Medical Group - Specialty Care PC PastSince Oct 23, 2022 Accepting new patients
HMH Hospitals Corporation Past Accepting new patients

Locations

30 Prospect Ave
Hackensack, NJ 07601
Phone (201) 488-0066

81 Davis Ave
Ste 4
Neptune, NJ 07753
Phone (732) 776-4178

19 Davis Ave
Ste 5
Neptune, NJ 07753

3600 State Route 66
Fl 3
Neptune City, NJ 07753
Phone (732) 807-0463

19 Davis Ave
Fl 5
Neptune City, NJ 07753
Phone (732) 776-4860

3 Hospital Plz
Ste 407
Old Bridge, NJ 08857
Phone (732) 360-4255

1945 State Route 33
Wall Township, NJ 07753
Phone (732) 776-2333

100 N Mario Capecchi Dr
Slc, UT 84113
Phone (801) 587-7109

81 N Mario Capecchi Dr
Slc, UT 84113
Phone (801) 662-5700

1380 E Medical Center Dr
St George, UT 84790
Phone (435) 251-2992

1380 E Medical Center Dr
#P
St George, UT 84790
Phone (435) 251-2355

Interoperability endpoints

  • Direct secure messaging: cheechun.tan@direct.hackensackmeridian.org
  • FHIR API: https://fhir4.healow.com/fhir/r4/IHJHBD

Organizations & group practices 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1211932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652400000000",
    "number": "1114185915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 DAVIS AVE FL 5",
            "city": "NEPTUNE",
            "state": "NJ",
            "postal_code": "077534488",
            "telephone_number": "732-776-4268",
            "fax_number": "732-776-3178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 DAVIS AVE FL 5",
            "city": "NEPTUNE",
            "state": "NJ",
            "postal_code": "077534488",
            "telephone_number": "732-776-4268",
            "fax_number": "732-776-3178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAN",
        "first_name": "CHEE CHUN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-05-28",
        "last_updated": "2022-05-13",
        "certification_date": "2022-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0214X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Pulmonology",
            "state": "NJ",
            "license": "25MA10894600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0751715",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Neptune, NJ

Sources for this page

Verify at the official NPI Registry.