Active NPI
Kai B Chung, MD
- General Practice Physician
- Vineland, NJ
National Provider Identifier
1437221306
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- MA 032024
- Practice address
- 1676 E Landis Ave
Vineland, NJ 08361 - Phone
- (856) 696-6431
- Fax
- (856) 794-5803
- NPI assigned
- Nov 15, 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 |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | MA 032024 | NJ | Primary |
Addresses
Primary practice location
1676 E Landis Ave
Vineland, NJ 08361
Mailing address
8 Michael Road
Sicklerville, NJ 08081
Phone (856) 309-8660
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 129336B1H | Other | NJ | MEDICARE BILLING ID |
| 4474201 | Medicaid | NJ |
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA 032024 | NJ | MD | General Practice Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163548800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1326844800000",
"number": "1437221306",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8 MICHAEL ROAD",
"city": "SICKLERVILLE",
"state": "NJ",
"postal_code": "08081",
"telephone_number": "856-309-8660"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1676 E LANDIS AVE",
"city": "VINELAND",
"state": "NJ",
"postal_code": "08361",
"telephone_number": "856-696-6431",
"fax_number": "856-794-5803"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHUNG",
"first_name": "KAI",
"middle_name": "B",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-15",
"last_updated": "2012-01-18",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "NJ",
"license": "MA 032024",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE BILLING ID",
"identifier": "129336B1H",
"state": "NJ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4474201",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Vineland, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 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.