Justin Chu, D.O.

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

25MB09829400 Issued in NJ

Practice address

1505 W Sherman Ave
Vineland, NJ 08360-6912

Phone

(856) 641-6023

NPI assigned

Sep 5, 2013

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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

Specialty

Emergency Medicine

Education

Nova Southeastern Univ College of Dental Medicine, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

South Jersey Health System Emergency Physician Services P aGroup PAC ID 0244134302, 31 clinicians

South Jersey Hyperbaric Medicine LLCGroup PAC ID 9436427499, 28 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Inspira Medical Center Vineland Hospital, Vineland, NJ, CCN 310032
• Inspira Medical Center Mullica Hill Hospital, Elmer, NJ, CCN 310069

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

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.

• South Jersey Health System Emergency Physician Services P a

  • Emergency Medicine Physician
  • Elmer, NJ
  • NPI 1306871314
  Medicare reassignment Care Compare group NPD
• South Jersey Hyperbaric Medicine LLC

  • Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
  • Vineland, NJ
  • NPI 1699216853
  Medicare reassignment Care Compare group NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Inspira Medical Centers, Inc.

  • General Acute Care Hospital
  • Vineland, NJ
  • NPI 1164487542
  Care Compare affiliation
• Inspira Medical Centers, Inc.

  • General Acute Care Hospital
  • Elmer, NJ
  • NPI 1255396024
  Care Compare affiliation
• Inspira Medical Centers, Inc.

  • General Acute Care Hospital
  • Mullica Hill, NJ
  • NPI 1366097032
  Care Compare affiliation
• South Jersey Hospital, Inc.

  • Physical Therapy Clinic/Center
  • Mullica Hill, NJ
  • NPI 1609158732

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1378339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552435200000",
    "number": "1275968570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1505 W SHERMAN AVE",
            "city": "VINELAND",
            "state": "NJ",
            "postal_code": "083606912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1505 W SHERMAN AVE",
            "city": "VINELAND",
            "state": "NJ",
            "postal_code": "083606912",
            "telephone_number": "856-641-6023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHU",
        "first_name": "JUSTIN",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-09-05",
        "last_updated": "2019-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NJ",
            "license": "25MB09829400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brooke Chisholm
• Woojin Chong, M.D.
• Chosen to Change LLC
• Chosen to Change LLC
• Muhammad Saad Choudhry, M.D.
• Kai B Chung, MD
• Christina Ciccotta, MSW, LSW
• Joseph John Cipriano, DNP, FNP-BC
• Benjamin John Cisrow IV, LSW
• City of Vineland

• Emergency Medicine Physician in Vineland, NJ
• Providers in Vineland, NJ by specialty
• Emergency Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2019; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.