Active NPI
Chingin Tim Chiu, B,S
- Pharmacist
- East Orange, NJ
National Provider Identifier
1255653853
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RI02926500
- Practice address
- 310 Central Ave
Suite#111
East Orange, NJ 07018-2835 - Phone
- (973) 674-5777
- Fax
- (973) 674-5999
- NPI assigned
- Feb 23, 2010
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | RI02926500 | NJ | Primary |
Addresses
Primary practice location
310 Central Ave
Suite#111
East Orange, NJ 07018-2835
Mailing address
14720 35TH Ave
Apt 5D
Flushing, NY 11354-3700
Phone (917) 373-9241
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RI02926500 | NJ | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| East Orange Pharmacy LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Community/Retail Pharmacy
- East Orange, NJ
- NPI 1154343044
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1266883200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1266883200000",
"number": "1255653853",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14720 35TH AVE",
"address_2": "APT 5D",
"city": "FLUSHING",
"state": "NY",
"postal_code": "113543700",
"telephone_number": "917-373-9241"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "310 CENTRAL AVE",
"address_2": "SUITE#111",
"city": "EAST ORANGE",
"state": "NJ",
"postal_code": "070182835",
"telephone_number": "973-674-5777",
"fax_number": "973-674-5999"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHIU",
"first_name": "CHINGIN",
"middle_name": "TIM",
"credential": "B,S",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-02-23",
"last_updated": "2010-02-23",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NJ",
"license": "RI02926500",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in East Orange, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.