Individual provider Active NPI

Karen Hong Xue Sun, M.D.

  • Internal Medicine Physician
  • Bridgewater, NJ
National Provider Identifier
1558307900
Registry record updated Jul 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MA070631 Issued in NJ
Practice address
201 Union Ave
Suite 1a
Bridgewater, NJ 08807-3002
Phone
(908) 595-6330
Fax
(908) 595-6330
NPI assigned
Jun 22, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MA070631 NJ Primary

Addresses

Primary practice location

201 Union Ave
Suite 1a
Bridgewater, NJ 08807-3002

Mailing address

201 Union Ave
Suite 1a
Bridgewater, NJ 08807-3002
Phone (908) 595-6330

Other identifiers 1

IdentifierTypeStateIssuer
8636605MedicaidNJ

Other names 1

  • Dr. Hong Xue Former name

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
I20040511000757 NJ Practitioner - Internal Medicine 4082603337 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Alliance Medical Associates, PCGroup PAC ID 2062474042, 2 clinicians

Practice addresses (Care Compare)

15 Monroe St
Bridgewater, NJ 08807-3043
Phone (908) 595-6330

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA070631NJMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Alliance Medical Associates, PC Internal Medicine CurrentSince May 22, 2003 Accepting new patients

Locations

201 Union Ave
Ste A1
Bridgewater, NJ 08807
Phone (908) 575-0880

15 Monroe St
Bridgewater, NJ 08807
Phone (908) 575-0880

Interoperability endpoints

  • Direct secure messaging: ksun58997@epicdirect.rwjbh.org

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1150934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1278028800000",
    "number": "1558307900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 UNION AVE",
            "address_2": "SUITE 1A",
            "city": "BRIDGEWATER",
            "state": "NJ",
            "postal_code": "088073002",
            "telephone_number": "908-595-6330",
            "fax_number": "908-595-6330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 UNION AVE",
            "address_2": "SUITE 1A",
            "city": "BRIDGEWATER",
            "state": "NJ",
            "postal_code": "088073002",
            "telephone_number": "908-595-6330",
            "fax_number": "908-595-6330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUN",
        "first_name": "KAREN",
        "middle_name": "HONG XUE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-22",
        "last_updated": "2010-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "MA070631",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8636605",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HONG",
            "last_name": "XUE",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bridgewater, NJ

Sources for this page

Verify at the official NPI Registry.