Chae Internal Medicine LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

CHAE INTERNAL MEDICINE LLC

Practice address

70 Fulton St
Boston, MA 02109-1402

Phone

(617) 876-4344

NPI assigned

Aug 20, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Jin Byung Chae, MD

Title

Owner

Phone

(781) 879-9917

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jin Byung Byung Chae, M.D.

  • Internal Medicine Physician
  • Boston, MA
  • NPI 1477713121
  Medicare reassignment NPD

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

{
    "created_epoch": "1597881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597881600000",
    "number": "1679185722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 HANCOCK ST",
            "city": "LEXINGTON",
            "state": "MA",
            "postal_code": "024203443",
            "telephone_number": "781-879-9917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 FULTON ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021091402",
            "telephone_number": "617-876-4344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHAE INTERNAL MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-20",
        "last_updated": "2020-08-20",
        "certification_date": "2020-08-20",
        "status": "A",
        "authorized_official_last_name": "CHAE",
        "authorized_official_first_name": "JIN",
        "authorized_official_middle_name": "BYUNG",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "781-879-9917",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Noor Anmol Kaur Chadha, MD, MS
• Nicholas Chadi
• Emma Chadwick
• Laura Chadwick, PHARMD
• Mary Chadwick
• Claudia Un-Yong Chae, MD
• Heechin Chae, MD
• Jin Byung Byung Chae, M.D.
• Ruth Chaffee, M.ED.
• Allison Elizabeth Chaffman, M.S., CCC-SLP

• Internal Medicine Physician in Boston, MA
• Providers in Boston, MA by specialty
• Internal Medicine Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.