Individual provider Active NPI

Brian Lee Ju, MD

  • Diagnostic Radiology Physician
  • Philadelphia, PA
National Provider Identifier
1710240601
Registry record updated May 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
MD452269 Issued in PA
Practice address
51 N 39TH St
Philadelphia, PA 19104-2640
Phone
(215) 349-5454
NPI assigned
Jun 17, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 2, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X MT202201 PA
Diagnostic Radiology Physician 2085R0202X MD452269 PA Primary

Addresses

Primary practice location

51 N 39TH St
Philadelphia, PA 19104-2640

Mailing address

51 N 39TH St
Philadelphia, PA 19104-2640
Phone (215) 349-5454

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NJ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20170526000030 PA Practitioner - Diagnostic Radiology 2163720988 Reassigns benefits to 2 organizations
I20180801001369 NJ Practitioner - Diagnostic Radiology 2163720988 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Yale University School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Clinical Health Care Associates of New Jersey PCGroup PAC ID 0749180198, shared by 7 NPIs, 793 clinicians
University of Penn-Medical GroupGroup PAC ID 6204730955, 3,433 clinicians

Practice addresses (Care Compare)

1006 Mantua Pike
Woodbury, NJ 08097-1221

1865 Route 70 E
Cherry Hill, NJ 08003-2013

1865 Route 70 E 130
Rad Cherry Hill
Cherry Hill, NJ 08003-2013
Phone (856) 433-2535

1865 Route 70 E 210
Cherry Hill, NJ 08003-2013

1865 Route 70 E 220
Cherry Hill, NJ 08003-2013

1865 Route 70 E 260
Cherry Hill Vas Surg
Cherry Hill, NJ 08003-2013
Phone (215) 662-2069

3205 Fire Rd
Egg Harbor Township, NJ 08234-5884
Phone (215) 349-8222

455 Woodview Rd
Radiology Southern Chester County
West Grove, PA 19390-9147
Phone (610) 345-1970

Hospital & facility affiliations

  • Chester County Hospital Hospital, West Chester, PA, CCN 390179
  • Phoenixville Hospital Hospital, Phoenixville, PA, CCN 390127
  • Hospital of Univ of Pennsylvania Hospital, Philadelphia, PA, CCN 390111

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Clinical Health Care Associates of New Jersey, P.C. Diagnostic Radiology CurrentSince Jul 1, 2018 Accepting new patients
Clinical Health Care Associates of New Jersey, PC CurrentSince Jul 1, 2018 Accepting new patients
University of Penn-Medical Group CurrentSince Jul 1, 2018 Accepting new patients
Clinical Care Associates of the University of Pennsylvania Health CurrentSince Jul 1, 2018 Accepting new patients
University of Penn-Medical Group CurrentSince Jul 1, 2018 Accepting new patients
Clinical Care Associates of the University of Pennsylvania Health CurrentSince Jul 1, 2018 Accepting new patients
University of Penn-Medical Group Current Accepting new patients

Locations

3205 Fire Rd
Egg Hbr Twp, NJ 08234
Phone (609) 407-1113

1006 Mantua Pike
Woodbury Hts, NJ 08097
Phone (856) 845-6880

130 S Bryn Mawr Ave
Bryn Mawr, PA 19010
Phone (484) 337-3000

130 S Bryn Mawr Ave
Fl 2
Bryn Mawr, PA 19010
Phone (610) 526-3000

3624 Market St
Fl 2
Philadelphia, PA 19104
Phone (215) 615-3669

3737 Market St
Philadelphia, PA 19104
Phone (215) 294-9393

701 E Marshall St
West Chester, PA 19380
Phone (610) 431-5000

455 Woodview Rd
West Grove, PA 19390
Phone (610) 345-1960

777 Township Line Rd
Ste 200
Yardley, PA 19067
Phone (215) 860-0775

Organizations & group practices 7

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1339891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525219200000",
    "number": "1710240601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51 N 39TH ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191042640",
            "telephone_number": "215-349-5454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51 N 39TH ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191042640",
            "telephone_number": "215-349-5454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JU",
        "first_name": "BRIAN",
        "middle_name": "LEE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-17",
        "last_updated": "2018-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "PA",
            "license": "MT202201",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "PA",
            "license": "MD452269",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.