Active NPI
Justin Chua, MD
- Family Medicine Physician
- Brewster, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 306036-01
- Practice address
- 111 Clock Tower CMNS
Brewster, NY 10509-4055 - Phone
- (845) 279-5187
- Fax
- (855) 703-7570
- NPI assigned
- Apr 21, 2017
- Last updated
- Apr 30, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 306036-01 | NY | Primary |
| Family Medicine Physician | 207Q00000X | MT212671 | PA |
Addresses
Primary practice location
111 Clock Tower CMNS
Brewster, NY 10509-4055
Mailing address
111 Clock Tower CMNS
Brewster, NY 10509-4055
Phone (845) 279-5187
Other practice location 1
129 Clove Branch Rd
Hopewell Junction, NY 12533-5284
Phone (845) 279-5187
Other practice location 2
667 Stoneleigh Ave Ste 117
Carmel, NY 10512-2455
Phone (845) 279-5187
Other practice location 3
1086 Franklin St
Johnstown, PA 15905-4305
Phone (814) 534-9106
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 07085129 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
111 Clock Towe CMNS
Brewster, NY 10509-4055
Phone (845) 279-5187
71 Prospect Ave
Hudson, NY 12534-2927
Phone (518) 828-7601
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 306036-01 | NY | MD | Family Medicine Physician |
| MT212671 | PA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Columbia Memorial Hospital | Current | Accepting new patients | |
| Northern Medical Group, PLLC | Family Medicine | Current | Accepting new patients |
| Columbia Memorial Hospital | Current | Accepting new patients | |
| Columbia Memorial Hospital | Current | Accepting new patients | |
| DLP Conemaugh Meyersdale Medical Center LLC | Family Medicine | Current | Accepting new patients |
| Family Medicine of Pawling, PLLC | Family Medicine | Past | Accepting new patients |
| Windber Hospital, Inc. | Past | Accepting new patients | |
| Columbia Memorial Hospital | Past | Accepting new patients | |
| Health Quest Medical Practice, PC | Family Medicine | Past | Accepting new patients |
Locations
111 Clock Tower Cmns
Brewster, NY 10509
Phone (845) 592-4915
667 Stoneleigh Ave
Ste 117
Carmel, NY 10512
Phone (845) 230-5178
400 Westage Business Ctr Dr
Ste 211
Fishkill, NY 12524
Phone (845) 471-3500
129 Clove Branch Rd
Hopewell Junction, NY 12533
Phone (845) 223-3050
71 Prospect Ave
Hudson, NY 12534
Phone (518) 262-3773
198 Route 22
Ste 7
Pawling, NY 12564
Phone (845) 255-3010
2827 US Highway 9
Valatie, NY 12184
Phone (518) 828-7601
200 Hospital Dr
Meyersdale, PA 15552
Phone (814) 634-5911
7160 Mason Dixon Hwy
Meyersdale, PA 15552
Phone (814) 634-5935
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/CJAHCA
- jchua135812@albanymed.direct-ci.com
Organizations & group practices 10
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Multi-Specialty Clinic/Center
- Hudson, NY
- NPI 1083639587
-
- Internal Medicine Physician
- Brewster, NY
- NPI 1174994826
Family Medicine
-
- Cardiovascular Disease Physician
- Brewster, NY
- NPI 1376337683
-
- Rural Health Clinic/Center
- Valatie, NY
- NPI 1275403990
-
- Multi-Specialty Clinic/Center
- Copake, NY
- NPI 1720333479
-
- Family Medicine Physician
- Meyersdale, PA
- NPI 1932500154
-
- General Acute Care Hospital
- Hudson, NY
- NPI 1528024718
-
- Family Medicine Physician
- Pawling, NY
- NPI 1104891860
-
- Family Medicine Physician
- Pawling, NY
- NPI 1831655414
-
dba Windber Medical Center
- General Acute Care Hospital
- Windber, PA
- NPI 1275620536
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Ambulatory Surgical Clinic/Center
- Niskayana, NY
- NPI 1154973071
Hospital
-
- General Acute Care Hospital
- Albany, NY
- NPI 1376577247
-
dba Albany Medical Center South Clinical Campus
- General Acute Care Hospital
- Albany, NY
- NPI 1811917461
-
- General Acute Care Hospital
- Hudson, NY
- NPI 1528024718
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1492732800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1777507200000",
"number": "1154856755",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 CLOCK TOWER CMNS",
"city": "BREWSTER",
"state": "NY",
"postal_code": "105094055",
"telephone_number": "845-279-5187",
"fax_number": "855-703-7570"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 CLOCK TOWER CMNS",
"city": "BREWSTER",
"state": "NY",
"postal_code": "105094055",
"telephone_number": "845-279-5187",
"fax_number": "855-703-7570"
}
],
"practiceLocations": [
{
"address_1": "129 Clove Branch Rd",
"address_purpose": "LOCATION",
"city": "Hopewell Junction",
"state": "NY",
"postal_code": "125335284",
"country_code": "US",
"telephone_number": "845-279-5187",
"fax_number": "855-703-7570",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "667 Stoneleigh Ave Ste 117",
"address_purpose": "LOCATION",
"city": "Carmel",
"state": "NY",
"postal_code": "105122455",
"country_code": "US",
"telephone_number": "845-279-5187",
"fax_number": "855-703-7570",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1086 Franklin St",
"address_purpose": "LOCATION",
"city": "Johnstown",
"state": "PA",
"postal_code": "159054305",
"country_code": "US",
"telephone_number": "814-534-9106",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CHUA",
"first_name": "JUSTIN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-04-21",
"last_updated": "2026-04-30",
"certification_date": "2026-04-30",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NY",
"license": "306036-01",
"primary": true
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "PA",
"license": "MT212671",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "07085129",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Brewster, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2026; 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.