Jane CHI-Chun Pan, MD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

25MA09541900 Issued in NJ

Practice address

530 Lakehurst Rd
Suite 206
Toms River, NJ 08755-8063

Phone

(732) 341-4733

Fax

(732) 341-2794

NPI assigned

Aug 18, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• CHI Chun Pan Former name

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

Specialty

Ophthalmology

Education

Icahn School of Medicine at Mount Sinai, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Southern Shores Eye Center, P.a.Group PAC ID 4981683711, 6 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Community Medical Center Hospital, Toms River, NJ, CCN 310041
• Southern Ocean Medical Center Hospital, Manahawkin, NJ, CCN 310113

Merit-based Incentive Payment System (MIPS)

Final score

88.5 of 100Reported as group

Quality

86.47

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: janechipan@shoreeyeassociates.imwdirect.com

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.

• Southern Shores Eye Center, P.a.

  • Ophthalmology Physician
  • Manahawkin, NJ
  • NPI 1669421194
  Medicare reassignment Care Compare group NPD
• Shore Eye Associates PA

  • Durable Medical Equipment & Medical Supplies
  • Toms River, NJ
  • NPI 1093737017

  Ophthalmology

  NPD
• Shore Eye Associates PA

  • Durable Medical Equipment & Medical Supplies
  • Whiting, NJ
  • NPI 1174283717

  Ophthalmology

  NPD
• Ocean County Eye Associates LLC

  dba Ocean County Eye Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Toms River, NJ
  • NPI 1093760019
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Community Medical Center Inc

  • General Acute Care Hospital
  • Toms River, NJ
  • NPI 1013010917
  Care Compare affiliation
• HMH Hospitals Corporation

  dba Southern Ocean Medical Center

  • General Acute Care Hospital
  • Manahawkin, NJ
  • NPI 1831601590
  Care Compare affiliation

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

{
    "created_epoch": "1219017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1420761600000",
    "number": "1518113992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 LAKEHURST RD",
            "address_2": "SUITE 206",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087558063",
            "telephone_number": "732-341-4733",
            "fax_number": "732-341-2794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 LAKEHURST RD",
            "address_2": "SUITE 206",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087558063",
            "telephone_number": "732-341-4733",
            "fax_number": "732-341-2794"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAN",
        "first_name": "JANE",
        "middle_name": "CHI-CHUN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-18",
        "last_updated": "2015-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NJ",
            "license": "25MA09541900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHI",
            "last_name": "PAN",
            "middle_name": "CHUN",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Siobhan Ann Pakenham, D.C.
• Haig Pakhchanian, MD
• Alfred Errol Palmieri, M.D.
• Nicole Kristen Palmieri, APN
• Allan Palush Jr., LPC
• Gina Panarese
• Aakash Panchal
• Pancurak Eye Center LLC
• Cynthia Pantazakos
• Melissa Paolicelli

• Ophthalmology Physician in Toms River, NJ
• Providers in Toms River, NJ by specialty
• Ophthalmology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.