Individual provider Active NPI

Shaun Joo Chun, M.D.

  • Emergency Medicine Physician
  • Butler, NJ
National Provider Identifier
1255423018
Registry record updated May 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
25MA07091000 Issued in NJ
Practice address
1224 NJ-23 North
Butler, NJ 07405
Phone
(862) 246-7945
NPI assigned
Sep 29, 2006
Last updated
May 12, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 25MA07091000 NJ Primary

Addresses

Primary practice location

1224 NJ-23 North
Butler, NJ 07405

Mailing address

1 Diamond Hill Rd
Berkeley Heights, NJ 07922-2104
Phone (908) 273-4300

Other identifiers 1

IdentifierTypeStateIssuer
8314705MedicaidNJ

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
I20050407000275 NJ Practitioner - Emergency Medicine 3971550328 Reassigns benefits to 3 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Atlantic Urgent Care, LLC CurrentSince Sep 25, 2024 Accepting new patients
Atlantic Advanced Urgent Care Emergency Medicine CurrentSince Mar 15, 2025 Accepting new patients
Summit Medical Group PA CurrentSince May 14, 2023 Accepting new patients
University Physician Associates of New Jersey Inc Emergency Medicine CurrentSince Oct 1, 2014 Accepting new patients
William R. Collini, M.D., P.a. PastSince Sep 25, 2024 Accepting new patients
Emergency Physicians of Saint Clares LLC Emergency Medicine PastSince Jan 1, 2012 Accepting new patients

Locations

1 Diamond Hill Rd
Berkeley Heights, NJ 07922
Phone (908) 277-8868

140 Central Ave
Clark, NJ 07066
Phone (732) 499-0606

333 US Highway 46
Ste 106
Mountain Lks, NJ 07046
Phone (973) 829-7965

150 Bergen St
Newark, NJ 07103
Phone (973) 972-6056

30 Bergen St
#12
Newark, NJ 07107
Phone (973) 972-0037

30 Bergen St
Rm 1205
Newark, NJ 07107
Phone (973) 972-0037

90 Bergen St
Newark, NJ 07103
Phone (973) 972-0037

181 High St
Newton, NJ 07860
Phone (973) 383-9898

376 Route 15
Ste 101
Sparta, NJ 07871
Phone (973) 383-9898

Organizations & group practices 6

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683849600000",
    "number": "1255423018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 DIAMOND HILL RD",
            "city": "BERKELEY HEIGHTS",
            "state": "NJ",
            "postal_code": "079222104",
            "telephone_number": "908-273-4300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1224 NJ-23 NORTH",
            "city": "BUTLER",
            "state": "NJ",
            "postal_code": "07405",
            "telephone_number": "862-246-7945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHUN",
        "first_name": "SHAUN",
        "middle_name": "JOO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-29",
        "last_updated": "2023-05-12",
        "certification_date": "2023-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NJ",
            "license": "25MA07091000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8314705",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Butler, NJ

Sources for this page

Verify at the official NPI Registry.