Chia-Yu Chao, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

25MA05425700 Issued in NJ

Practice address

539 Egg Harbor Rd
Suite 3
Sewell, NJ 08080-2371

Phone

(856) 582-8885

Fax

(856) 582-6556

NPI assigned

Sep 22, 2006

Last updated

Jun 22, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H3359

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/HCIJCD

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.

• Northern Medical Center, Inc

  • Multi-Specialty Clinic/Center
  • Middletown, NY
  • NPI 1215593611
  Medicare reassignment NPD
• Chia Yu Chao

  • Pediatric Adolescent Medicine Physician
  • Sewell, NJ
  • NPI 1659582591

  Pediatrics

  NPD (past) Authorized official

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592784000000",
    "number": "1558460527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 JASON PL",
            "address_2": "STE 201",
            "city": "MIDDLETOWN",
            "state": "NY",
            "postal_code": "109401909",
            "telephone_number": "845-800-5118",
            "fax_number": "845-625-1735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "539 EGG HARBOR RD",
            "address_2": "SUITE 3",
            "city": "SEWELL",
            "state": "NJ",
            "postal_code": "080802371",
            "telephone_number": "856-582-8885",
            "fax_number": "856-582-6556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAO",
        "first_name": "CHIA-YU",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-22",
        "last_updated": "2020-06-22",
        "certification_date": "2020-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "305130-01",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NJ",
            "license": "25MA05425700",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "382750001",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anthony J Cerone Jr., D.O.
• Howard B Cetel, DDS
• CGS Family Partnership Inc.
• CGS Family Partnership Inc.
• Lilian Chan
• Charles L. Dietzek
• Diane Marie Cheli, RPH
• Peter J Chen, MD
• Jessica Carol Cherry, D.O.
• Chia Yu Chao

• Pediatrics Physician in Sewell, NJ
• Providers in Sewell, NJ by specialty
• Pediatrics Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2020; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.