Andrew Chung, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

40QB00347700 Issued in NJ

Practice address

241 Forsgate Dr Ste 114
Jamesburg, NJ 08831-1385

Phone

(848) 219-4948

NPI assigned

Mar 1, 2023

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Keep Moving Physical Therapy & Rehab LLC

  • Physical Therapy Clinic/Center
  • Jamesburg, NJ
  • NPI 1871153791
  NPD

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

{
    "created_epoch": "1677628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677628800000",
    "number": "1639878333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "241 FORSGATE DR STE 114",
            "city": "JAMESBURG",
            "state": "NJ",
            "postal_code": "088311385",
            "telephone_number": "848-219-4948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "241 FORSGATE DR STE 114",
            "city": "JAMESBURG",
            "state": "NJ",
            "postal_code": "088311385",
            "telephone_number": "848-219-4948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHUNG",
        "first_name": "ANDREW",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-03-01",
        "last_updated": "2023-03-01",
        "certification_date": "2023-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NJ",
            "license": "40QB00347700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carna Care Inc (Comforcare Home Care)
• Central Jersey Family Medical Group PA
• Central Jersey Lung Center, P.a.
• Theresa M Chavis
• Furhana Amjad Chishti, D.P.T.
• Tracie Conforti
• Grace Helen Cooper, LAC
• Kiele Cruse
• Debra Demarco, D.C.
• Ashesh Desai, DMD

• Physical Therapy Assistant in Jamesburg, NJ
• Providers in Jamesburg, NJ by specialty
• Physical Therapy Assistant in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.