Individual provider Active NPI

John Y Chun, M.D.

  • Anesthesiology Physician
  • Salisbury, MD
National Provider Identifier
1609858935
Registry record updated Sep 28, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
D0047591 Issued in MD
Practice address
100 E Carroll St
Salisbury, MD 21801-5422
Phone
(410) 543-7375
NPI assigned
Nov 14, 2005
Last updated
Sep 28, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X D0047591 MD Primary

Addresses

Primary practice location

100 E Carroll St
Salisbury, MD 21801-5422

Mailing address

1325 Mount Hermon Rd
Suite 14B
Salisbury, MD 21804-5259
Phone (410) 742-4401

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
I20100713000379 NJ Practitioner - AnesthesiologyPractitioner - Pain Management 2163582941 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
AnesthesiologyAlso: Pain Management
Education
Creighton University School of Medicine, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Ambulatory Anesthesia LLCGroup PAC ID 9335134170, 9 clinicians
Gastroenterology Associates of New Jersey LLCGroup PAC ID 4284706656, 78 clinicians

Practice addresses (Care Compare)

1176 Hamburg Tpke
Wayne, NJ 07470-5069
Phone (973) 709-1900

80 Eisenhower Dr
Suite 100
Paramus, NJ 07652-1430
Phone (201) 336-1100

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0047591MDMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Ambulatory Anesthesia, LLC Anesthesiology CurrentSince Feb 7, 2022 Accepting new patients
Gastroenterology Associates of New Jersey, LLC Anesthesiology CurrentSince May 31, 2022 Accepting new patients
Princeton Healthcare Affiliated Physicians PC CurrentSince Mar 28, 2020 Accepting new patients
Vivian K. Bethala, MD PA CurrentSince Jul 14, 2022 Accepting new patients
Delmarva Pain Associates, LLC Anesthesiology CurrentSince Apr 30, 2003 Accepting new patients
Princeton Healthcare Affiliated Physicians PC CurrentSince Mar 28, 2020 Accepting new patients
Rancocas Anesthesiology, P.a. Past Accepting new patients
Associated Anesthesiology Practice P.a. Anesthesiology Past Accepting new patients
Peninsula Pain Management, LLC Past Accepting new patients

Locations

100 E Carroll St
Salisbury, MD 21801
Phone (410) 543-7100

201 Pine Bluff Rd
Ste 25
Salisbury, MD 21801
Phone (410) 546-1353

641 S Salisbury Blvd
Salisbury, MD 21801
Phone (410) 341-9002

925 Clifton Ave
Clifton, NJ 07013
Phone (908) 722-9556

401 Ridge Rd
Ste 6
Dayton, NJ 08810
Phone (732) 329-4800

466 Old Hook Rd
Ste 9
Emerson, NJ 07630
Phone (201) 261-1005

170 Prospect Ave
Ste 10
Hackensack, NJ 07601
Phone (201) 489-0030

80 Eisenhower Dr
Paramus, NJ 07652
Phone (201) 336-1100

80 Eisenhower Dr
Ste 100
Paramus, NJ 07652
Phone (201) 336-1100

301 Lakehurst Rd
Toms River, NJ 08755
Phone (732) 281-1590

525 Union Blvd
Totowa, NJ 07512
Phone (862) 229-0559

1 Washington Blvd
Ste A
Trenton, NJ 08691
Phone (609) 448-4353

1176 Hamburg Tpke
Wayne, NJ 07470
Phone (973) 283-0002

307 Hamburg Tpke
Wayne, NJ 07470
Phone (973) 722-9556

1130 McBride Ave
Fl 3
Woodland Park, NJ 07424
Phone (973) 785-2277

205 Browertown Rd
Woodland Park, NJ 07424
Phone (973) 785-7515

205 Browertown Rd
Ste 201
Woodland Park, NJ 07424
Phone (201) 796-8860

Interoperability endpoints

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

Organizations & group practices 9

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": "1131926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1190937600000",
    "number": "1609858935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1325 MOUNT HERMON RD",
            "address_2": "SUITE 14B",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218045259",
            "telephone_number": "410-742-4401",
            "fax_number": "410-742-4798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 E CARROLL ST",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218015422",
            "telephone_number": "410-543-7375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHUN",
        "first_name": "JOHN",
        "middle_name": "Y",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-14",
        "last_updated": "2007-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "MD",
            "license": "D0047591",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salisbury, MD

Sources for this page

Verify at the official NPI Registry.