Individual provider Active NPI

John Y Tung, MD

  • Pediatric Gastroenterology Physician
  • Camden, NJ
National Provider Identifier
1194832311
Registry record updated Feb 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Gastroenterology PhysicianTaxonomy code 2080P0206X
License
25MA07169400 Issued in NJ
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

Updated by the provider on Feb 1, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
8007101MedicaidNJ

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231229001218 NJ Practitioner - Pediatric Medicine 0143205849 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA07169400NJMDPediatric Gastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cooper Pediatric Specialists, PC CurrentSince Dec 1, 2023 Accepting new patients
Advocare, LLC CurrentSince Apr 1, 2024 Accepting new patients
Advocare , LLC CurrentSince Apr 1, 2024 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.