Organization Active NPI

Brian Chu M.D.,P.C.

  • Critical Care Medicine (Anesthesiology) Physician
  • Voorhees, NJ
National Provider Identifier
1689830960
Registry record updated Aug 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine (Anesthesiology) PhysicianTaxonomy code 207LC0200X
License
25MA03993800 Issued in NJ
Legal business name
BRIAN CHU M.D.,P.C.
Practice address
52 Edelweiss LN
Voorhees, NJ 08043-2819
Phone
(856) 719-8040
NPI assigned
Aug 5, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2008

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

Authorized official

Name
Brian Chu, M.D.
Title
President
Phone
(856) 719-8040

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Anesthesiology) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207LC0200X 25MA03993800 NJ Primary

Addresses

Primary practice location

52 Edelweiss LN
Voorhees, NJ 08043-2819

Mailing address

PO Box 149
Voorhees, NJ 08043-0149
Phone (856) 719-8040

Other identifiers 1

IdentifierTypeStateIssuer
0203840000OtherIBC PROVIDER NUMBER

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1217894400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217894400000",
    "number": "1689830960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 149",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080430149",
            "telephone_number": "856-719-8040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "52 EDELWEISS LN",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080432819",
            "telephone_number": "856-719-8040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIAN CHU M.D.,P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-05",
        "last_updated": "2008-08-05",
        "status": "A",
        "authorized_official_last_name": "CHU",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "856-719-8040",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207LC0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology, Critical Care Medicine",
            "state": "NJ",
            "license": "25MA03993800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IBC PROVIDER NUMBER",
            "identifier": "0203840000",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Voorhees, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2008; 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.