Individual provider Active NPI

Jaehoon Chung, M.D.

  • Cardiovascular Disease Physician
  • Rochelle Park, NJ
National Provider Identifier
1205138500
Registry record updated Nov 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
25MA09697100 Issued in NJ
Practice address
216 Rout 17 North
Suite 201
Rochelle Park, NJ 07662
Phone
(201) 845-3535
NPI assigned
Nov 19, 2010
Last updated
Nov 28, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 28, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 25MA09697100 NJ Primary
Nuclear Cardiology Physician 207UN0901X 25MA09697100 NJ

Addresses

Primary practice location

216 Rout 17 North
Suite 201
Rochelle Park, NJ 07662

Mailing address

216 Rout 17 North
Suite 201
Rochelle Park, NJ 07662
Phone (201) 845-3535

Other practice location 1

218 Rout 17 North
Suite 310
Rochelle Park, NJ 07662
Phone (201) 845-3535

Other practice location 2

411 Emerald St
E16
Iowa City, IA 52246-3005
Phone (319) 512-1860

Other practice location 3

411 Emerald St
E16
Iowa City, IA 52246-3005
Phone (319) 512-1860

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
I20150728003103 NJ Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 7618156985 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medical Associates of Englewood PCGroup PAC ID 1355512252, 538 clinicians

Practice addresses (Care Compare)

1 Towne Ctr
Cliffside Park, NJ 07010-2046
Phone (551) 234-3040

2 Journal SQ
FL 2
Jersey City, NJ 07306-4006
Phone (201) 963-7000

216 Route 17 N
Suite 201
Rochelle Park, NJ 07662-3333
Phone (201) 845-3535

24 Elm St
Harrington Park, NJ 07640-1902
Phone (201) 451-1601

30 Prospect Ave
Hackensack, NJ 07601-1915
Phone (551) 996-5045

350 Engle S
5TH FL Room 5518
Englewood, NJ 07631-1808
Phone (201) 568-5250

350 Engle St
Englewood, NJ 07631-1808

350 Engle St Main
Suite 256
Englewood, NJ 07631-1808
Phone (201) 894-3364

695 Anderson Ave
Suite 120
Cliffside Park, NJ 07010-2046
Phone (551) 234-3040

718 Teaneck Rd
Teaneck, NJ 07666-4245
Phone (201) 833-3000

7600 River Rd
North Bergen, NJ 07047-6217
Phone (201) 854-5000

910 Sylvan Ave
Suite 110
Englewood, NJ 07632-3306
Phone (551) 501-8989

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.09 of 100Reported as apm
Quality
86.89
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
81.33 of 100Reported as group
Quality
66.38
Promoting interoperability
100
Improvement activities
40
Cost
71.39

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA09697100NJMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hackensack Meridian Health Medical Group - Specialty Care PC CurrentSince Apr 12, 2016 Accepting new patients
Hackensack Meridian Health Medical Group - Specialty Care PC CurrentSince Apr 12, 2016 Accepting new patients
Medical Associates of Englewood, PC CurrentSince Aug 1, 2015 Accepting new patients
Hospitalist Medicine Physicians of Iowa, PLC Past Accepting new patients

Locations

180 Engle St
Englewood, NJ 07631
Phone (201) 567-2050

910 Sylvan Ave
Ste 110
Englewood Cliffs, NJ 07632
Phone (551) 501-8989

22-02 Broadway
Ste 301
Fair Lawn, NJ 07410
Phone (201) 414-5016

30 Prospect Ave
Hackensack, NJ 07601
Phone (201) 488-0066

24 Elm St
Ste 203
Harrington Pk, NJ 07640
Phone (201) 784-0123

1944 State Route 33
Neptune, NJ 07753
Phone (732) 776-3787

216 Route 17 N
Ste 201
Rochelle Park, NJ 07662
Phone (201) 845-3535

216 State Rt 17 N
Ste 201
Rochelle Park, NJ 07662
Phone (201) 845-3535

218 State Rt 17 N
Ste 310
Rochelle Park, NJ 07662
Phone (201) 845-3535

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IHJHBD
  • Direct secure messaging: jaehoon.chung@direct.hackensackmeridian.org
  • Direct secure messaging: jchung236522@direct.englewoodhealth.org

Organizations & group practices 4

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 8

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": "1290124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543363200000",
    "number": "1205138500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "216 ROUT 17 NORTH",
            "address_2": "SUITE 201",
            "city": "ROCHELLE PARK",
            "state": "NJ",
            "postal_code": "07662",
            "telephone_number": "201-845-3535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "216 ROUT 17 NORTH",
            "address_2": "SUITE 201",
            "city": "ROCHELLE PARK",
            "state": "NJ",
            "postal_code": "07662",
            "telephone_number": "201-845-3535"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "218 Rout 17 North",
            "address_2": "Suite 310",
            "address_purpose": "LOCATION",
            "city": "Rochelle Park",
            "state": "NJ",
            "postal_code": "07662",
            "country_code": "US",
            "telephone_number": "201-845-3535",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "411 Emerald St",
            "address_2": "E16",
            "address_purpose": "LOCATION",
            "city": "Iowa City",
            "state": "IA",
            "postal_code": "522463005",
            "country_code": "US",
            "telephone_number": "319-512-1860",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "411 Emerald St",
            "address_2": "E16",
            "address_purpose": "LOCATION",
            "city": "Iowa City",
            "state": "IA",
            "postal_code": "522463005",
            "country_code": "US",
            "telephone_number": "319-512-1860",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHUNG",
        "first_name": "JAEHOON",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-11-19",
        "last_updated": "2018-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NJ",
            "license": "25MA09697100",
            "primary": true
        },
        {
            "code": "207UN0901X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine, Nuclear Cardiology",
            "state": "NJ",
            "license": "25MA09697100",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochelle Park, NJ

Sources for this page

Verify at the official NPI Registry.