Myron Chu, D.O.

Primary specialty

Rheumatology PhysicianTaxonomy code 207RR0500X

License

MB07157800 Issued in NJ

Practice address

2301 Renaissance Blvd
Rn0320
King of Prussia, PA 19406-2772

Phone

(610) 787-3490

Fax

(610) 787-7043

NPI assigned

Jan 20, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

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

{
    "created_epoch": "1137715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355875200000",
    "number": "1376523837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2301 RENAISSANCE BLVD",
            "address_2": "RN0320",
            "city": "KING OF PRUSSIA",
            "state": "PA",
            "postal_code": "194062772",
            "telephone_number": "610-787-3490",
            "fax_number": "610-787-7043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 RENAISSANCE BLVD",
            "address_2": "RN0320",
            "city": "KING OF PRUSSIA",
            "state": "PA",
            "postal_code": "194062772",
            "telephone_number": "610-787-3490",
            "fax_number": "610-787-7043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHU",
        "first_name": "MYRON",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-20",
        "last_updated": "2012-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "NJ",
            "license": "MB07157800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8460108",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Childrens Hospital of Philadelphia
• Aruna Chivukula, M.D.
• Jaclyn Chmielewski
• Amber Christian, BCBA
• CHS Pennsylvania Medical, P.C.
• Jenna Jane Chung, DMD
• Ciccarone Chiropractic Care Center, Inc
• Rita Anne Ciccarone, D.C.
• Jaclyn S Cimiluca I, RDN
• Cari Danielle Cinamella, O.D.

• Rheumatology Physician in King of Prussia, PA
• Providers in King of Prussia, PA by specialty
• Rheumatology Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.