Active NPI
John Y Tung, MD
- Pediatric Gastroenterology Physician
- Camden, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Gastroenterology Physician
- License
- 25MA07169400
- Practice address
- 3 Cooper PLZ RM 200
Camden, NJ 08103-1438 - Phone
- (856) 342-2001
- NPI assigned
- Aug 24, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Gastroenterology Physician | 2080P0206X | 25MA07169400 | NJ | Primary |
Addresses
Primary practice location
3 Cooper PLZ RM 200
Camden, NJ 08103-1438
Mailing address
1 Federal St Ste 200
Camden, NJ 08103-1088
Phone (848) 288-6935
Other practice location 1
5429 Harding Hwy
Suite 302
Mays Landing, NJ 08330-2263
Phone (609) 625-8688
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8007101 | Medicaid | NJ |
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA07169400 | NJ | MD | Pediatric Gastroenterology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cooper Pediatric Specialists, PC | Current | Accepting new patients | |
| Advocare, LLC | Current | Accepting new patients | |
| Advocare , LLC | Current | Accepting new patients | |
| SCHC Pediatric Associates, LLC | Past | Accepting new patients | |
| South Jersey Pediatric Gastroenterology, LLC | Pediatric Gastroenterology | Past | Accepting new patients |
| Advocare, LLC | Past | Accepting new patients | |
| The Nemours Foundation | Past | Accepting new patients |
Locations
3 Cooper Plz
Rm 200
Camden, NJ 08103
Phone (609) 342-2001
132 Grove St
Ste A
Haddonfield, NJ 08033
Phone (856) 354-2211
401 Route 73 N
Ste 320
Marlton, NJ 08053
Phone (609) 471-1033
25 Lindsley Dr
Ste 205
Morristown, NJ 07960
Phone (973) 993-8777
6400 Main St
Voorhees, NJ 08043
Phone (609) 751-9339
833 Chestnut St
Ste 300
Philadelphia, PA 19107
Phone (215) 861-8800
Interoperability endpoints
- john.tung@advocaredoctors.eclinicaldirectplus.com
Organizations & group practices 7
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.
-
- Pediatrics Physician
- Marlton, NJ
- NPI 1770538696
-
- Pediatrics Physician
- Camden, NJ
- NPI 1306867585
-
- Pediatric Gastroenterology Physician
- Mays Landing, NJ
- NPI 1497921845
-
- Internal Medicine Physician
- Manahawkin, NJ
- NPI 1912762162
-
- Pediatrics Physician
- Cherry Hill, NJ
- NPI 1780696732
-
- Pediatrics Physician
- Philadelphia, PA
- NPI 1255363578
-
- Children's Hospital
- Wilmington, DE
- NPI 1467505073
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156377600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1706745600000",
"number": "1194832311",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 FEDERAL ST STE 200",
"city": "CAMDEN",
"state": "NJ",
"postal_code": "081031088",
"telephone_number": "848-288-6935"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3 COOPER PLZ RM 200",
"city": "CAMDEN",
"state": "NJ",
"postal_code": "081031438",
"telephone_number": "856-342-2001"
}
],
"practiceLocations": [
{
"address_1": "5429 Harding Hwy",
"address_2": "Suite 302",
"address_purpose": "LOCATION",
"city": "Mays Landing",
"state": "NJ",
"postal_code": "083302263",
"country_code": "US",
"telephone_number": "609-625-8688",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TUNG",
"first_name": "JOHN",
"middle_name": "Y",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-24",
"last_updated": "2024-02-01",
"certification_date": "2024-02-01",
"status": "A"
},
"taxonomies": [
{
"code": "2080P0206X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Gastroenterology",
"state": "NJ",
"license": "25MA07169400",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8007101",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Camden, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2024; 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.