Jae Hoon Cha

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

26NJ15052700 Issued in NJ

Practice address

1132 Cooper St
Deptford, NJ 08096-3014

Phone

(856) 848-8060

Fax

(856) 848-8038

NPI assigned

Apr 8, 2024

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

Enrolled in NJ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ultra Care Clinics LLCGroup PAC ID 4284957069, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/
• Direct secure messaging: jaecha@uccl-nj.direct.office.nextgen.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.

• Ultra Care Clinics LLC

  • Urgent Care Clinic/Center
  • Deptford, NJ
  • NPI 1285034108
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1712534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712534400000",
    "number": "1669225991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1132 COOPER ST",
            "city": "DEPTFORD",
            "state": "NJ",
            "postal_code": "080963014",
            "telephone_number": "856-848-8060",
            "fax_number": "856-848-8038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1132 COOPER ST",
            "city": "DEPTFORD",
            "state": "NJ",
            "postal_code": "080963014",
            "telephone_number": "856-848-8060",
            "fax_number": "856-848-8038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHA",
        "first_name": "JAE",
        "middle_name": "HOON",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-04-08",
        "last_updated": "2024-04-08",
        "certification_date": "2024-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ15052700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Scott A Brown, D.C.
• Barbara Lynn Bucci, R.D.
• Francis N Campagna Jr.
• Rommel Pazziuagan Casibang, PT
• Sharon M. Ceravolo, APN
• Anna N Champion, RPH
• Pil Jae Chang, PHARM D.
• Melinda Chanza-Soto
• Charles M. Cummins, OD, PA (VisionWorks)
• Charles M. Cummins, OD, PA (Visionworks)

• Family Nurse Practitioner in Deptford, NJ
• Providers in Deptford, NJ by specialty
• Family Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2024; 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.