Individual provider Active NPI

Chung Him Tse, DPM

  • Foot & Ankle Surgery Podiatrist
  • Millburn, NJ
National Provider Identifier
1295296176
Registry record updated Jul 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
25MD00367400 Issued in NJ
Practice address
225 Millburn Ave Ste 104B
Millburn, NJ 07041-1712
Phone
(732) 532-3668
Fax
(973) 577-4003
NPI assigned
Mar 25, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 4, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 25MD00367400 NJ Primary

Addresses

Primary practice location

225 Millburn Ave Ste 104B
Millburn, NJ 07041-1712

Mailing address

225 Millburn Ave Ste 104B
Millburn, NJ 07041-1712
Phone (732) 532-3668

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220629000144 NJ Practitioner - Podiatry 2668852260 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 2019
Medicare assignment
May accept Medicare assignment
Group practices
Foot N Ankle Centers PCGroup PAC ID 9032601240, 2 clinicians

Practice addresses (Care Compare)

5 Walter E Foran Blvd
Suite 2001
Flemington, NJ 08822-4674
Phone (908) 788-1848

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
25MD00367400NJMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Mitchell T. Zimmel PA Foot & Ankle Surgery CurrentSince Dec 12, 2022 Accepting new patients
Mitchell T Zimmel Foot & Ankle Surgery Past Accepting new patients

Locations

180 White Rd
Ste 105
Little Silver, NJ 07739
Phone (732) 224-0800

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/dd839e2d-c171-46e8-bad2-f7adc1f055dd/
  • Direct secure messaging: ctse243404@epicdirect.rwjbh.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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1553472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688428800000",
    "number": "1295296176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 MILLBURN AVE STE 104B",
            "city": "MILLBURN",
            "state": "NJ",
            "postal_code": "070411712",
            "telephone_number": "732-532-3668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 MILLBURN AVE STE 104B",
            "city": "MILLBURN",
            "state": "NJ",
            "postal_code": "070411712",
            "telephone_number": "732-532-3668",
            "fax_number": "973-577-4003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TSE",
        "first_name": "CHUNG HIM",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-25",
        "last_updated": "2023-07-04",
        "certification_date": "2023-07-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NJ",
            "license": "25MD00367400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Millburn, NJ

Sources for this page

Verify at the official NPI Registry.