Individual provider Active NPI

Christina Chung Patrone, MD

  • Dermatology Physician
  • Haddon Heights, NJ
National Provider Identifier
1508361353
Registry record updated Aug 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
318465-01 Issued in NY
Practice address
500 Grove St Ste 200
Haddon Heights, NJ 08035-1752
Phone
(856) 853-0900
NPI assigned
Mar 26, 2018
Last updated
Aug 3, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Dermatology Physician 207N00000X 318465-01 NY Primary

Addresses

Primary practice location

500 Grove St Ste 200
Haddon Heights, NJ 08035-1752

Mailing address

500 Grove St Ste 200
Haddon Heights, NJ 08035-1752
Phone (856) 853-0900

Other practice location 1

1275 York Ave
New York, NY 10065
Phone (212) 639-3210

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230718003455 NJ Practitioner - Dermatology 7012245749 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Columbia University College of Physicians and Surgeons, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Grace U Chung MD PCGroup PAC ID 5597710707, 5 clinicians

Practice addresses (Care Compare)

500 Grove St
Suite 200
Haddon Heights, NJ 08035-1752
Phone (856) 853-0900

Merit-based Incentive Payment System (MIPS)

Final score
93.06 of 100Reported as group
Quality
96.53
Promoting interoperability
100
Improvement activities
40
Cost
80.34

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions32
Skin biopsy11

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
318465-01NYMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Grace U Chung MD PC Dermatology CurrentSince May 1, 2023 Accepting new patients

Locations

500 Grove St
Ste 200
Haddon Hgts, NJ 08035
Phone (856) 796-9200

Interoperability endpoints

  • Direct secure messaging: patrone@premierdermatologynj.emadirect.md

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1522022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659484800000",
    "number": "1508361353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 GROVE ST STE 200",
            "city": "HADDON HEIGHTS",
            "state": "NJ",
            "postal_code": "080351752",
            "telephone_number": "856-853-0900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 GROVE ST STE 200",
            "city": "HADDON HEIGHTS",
            "state": "NJ",
            "postal_code": "080351752",
            "telephone_number": "856-853-0900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1275 York Ave",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "10065",
            "country_code": "US",
            "telephone_number": "212-639-3210",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATRONE",
        "first_name": "CHRISTINA",
        "middle_name": "CHUNG",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-26",
        "last_updated": "2022-08-03",
        "certification_date": "2022-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NY",
            "license": "318465-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Haddon Heights, NJ

Sources for this page

Verify at the official NPI Registry.