Active NPI
Kye S Chun, DO
- Geriatric Medicine (Internal Medicine) Physician
- Belleville, NJ
National Provider Identifier
1356371819
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128b(4) exclusion effective Mar 20, 2023.
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Medicine (Internal Medicine) Physician
- License
- 25MB06411400
- Practice address
- 55 - 59 Washington Ave.
Belleville, NJ 07109-2931 - Phone
- (973) 616-7117
- Fax
- (973) 616-7338
- NPI assigned
- Jul 3, 2006
- 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 |
|---|---|---|---|---|
| Geriatric Medicine (Internal Medicine) Physician | 207RG0300X | 25MB06411400 | NJ | Primary |
Addresses
Primary practice location
55 - 59 Washington Ave.
Belleville, NJ 07109-2931
Mailing address
2477 Route 516
Ste 202
Old Bridge, NJ 08857-4603
Phone (201) 951-0897
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| KC05C94510 | Other | NJ | EMPIRE BC/BS |
| P2032183 | Other | NJ | OXFORD |
| 110214633 | Other | NJ | UNITED HEALTHCARE RAILROA |
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
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physician Visiting Care | Past | Accepting new patients |
Interoperability endpoints
- https://api.platform.athenahealth.com/2227/brand/1/csg/1/fhir/r4
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.
-
- Infectious Disease Physician
- Belleville, NJ
- NPI 1326449471
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151884800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1649721600000",
"number": "1356371819",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2477 ROUTE 516",
"address_2": "STE 202",
"city": "OLD BRIDGE",
"state": "NJ",
"postal_code": "088574603",
"telephone_number": "201-951-0897"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "55 - 59 WASHINGTON AVE.",
"city": "BELLEVILLE",
"state": "NJ",
"postal_code": "071092931",
"telephone_number": "973-616-7117",
"fax_number": "973-616-7338"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHUN",
"first_name": "KYE",
"middle_name": "S",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-03",
"last_updated": "2022-04-12",
"certification_date": "2022-04-12",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Geriatric Medicine",
"state": "NJ",
"license": "25MB06411400",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EMPIRE BC/BS",
"identifier": "KC05C94510",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "P2032183",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE RAILROA",
"identifier": "110214633",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Belleville, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.