Young Soo Chae, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

25MA06609900 Issued in NJ

Practice address

2 State Route 27
Suite 111
Edison, NJ 08820-3976

Phone

(732) 632-8094

Fax

(732) 632-8096

NPI assigned

Aug 29, 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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: young.chae@direct.christhospital.md

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.

• Edison Medical Care, LLC

  • Anesthesiology Physician
  • Edison, NJ
  • NPI 1215371851
  Medicare reassignment NPD
• Hudson Hospital Opco LLC

  • General Acute Care Hospital
  • Jersey City, NJ
  • NPI 1871859306
  NPD

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348012800000",
    "number": "1124136031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 STATE ROUTE 27",
            "address_2": "SUITE #111",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088203961",
            "telephone_number": "732-632-8094",
            "fax_number": "732-632-8096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 STATE ROUTE 27",
            "address_2": "SUITE 111",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088203976",
            "telephone_number": "732-632-8094",
            "fax_number": "732-632-8096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAE",
        "first_name": "YOUNG",
        "middle_name": "SOO",
        "name_prefix": "Mrs.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-29",
        "last_updated": "2012-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NJ",
            "license": "25MA06609900",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7993609",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Central Jeresy Nephorology
• Central Jersey Ophthalmology,PA
• Central Jersey Pathology Consultants, PA
• Ronald Cha, RN, ACNP-BC
• Scott S Chae, M.D.
• Mira Chakravarty, M.D.
• Eric Chan, DO
• Wai Chung Chan
• Kanika Chandra
• Jeffrey H Charen, MD

• Pediatrics Physician in Edison, NJ
• Providers in Edison, NJ by specialty
• Pediatrics Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2012; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.