Individual provider Active NPI

Justin Chua, MD

  • Family Medicine Physician
  • Brewster, NY
National Provider Identifier
1154856755
Registry record updated Apr 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
306036-01 Issued in NY
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, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
07085129MedicaidNY

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220811003007 NY Practitioner - Family Practice 7315276110 Reassigns benefits to 3 organizations

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
Northern Medical Group, PLLCGroup PAC ID 6901104157, 38 clinicians
Columbia Memorial HospitalGroup PAC ID 5092709410, 171 clinicians

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

LicenseStateTypeSpecialty
306036-01NYMDFamily Medicine Physician
MT212671PAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Columbia Memorial Hospital Current Accepting new patients
Northern Medical Group, PLLC Family Medicine CurrentSince Sep 1, 2022 Accepting new patients
Columbia Memorial Hospital CurrentSince Oct 1, 2024 Accepting new patients
Columbia Memorial Hospital CurrentSince Oct 1, 2024 Accepting new patients
DLP Conemaugh Meyersdale Medical Center LLC Family Medicine Current Accepting new patients
Family Medicine of Pawling, PLLC Family Medicine PastSince Jul 1, 2023 Accepting new patients
Windber Hospital, Inc. Past Accepting new patients
Columbia Memorial Hospital Past Accepting new patients
Health Quest Medical Practice, PC Family Medicine PastSince Jul 1, 2023 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

  • FHIR API: https://fhir4.healow.com/fhir/r4/CJAHCA
  • Direct secure messaging: 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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.