Active NPI
Jade Chan, PT, DPT
- Physical Therapist
- Metuchen, NJ
National Provider Identifier
1730577909
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 40QA01563100
- Practice address
- 481 Memorial Pkwy Ste 2
Metuchen, NJ 08840-1766 - Phone
- (732) 321-7056
- NPI assigned
- Dec 22, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 40QA01563100 | NJ | Primary |
Addresses
Primary practice location
481 Memorial Pkwy Ste 2
Metuchen, NJ 08840-1766
Mailing address
60-2 Prospect St
Metuchen, NJ 08840-2286
Phone (732) 609-1232
Other practice location 1
144 New Jersey 34
Matawan, NJ 07747
Phone (732) 662-2525
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 40QA01563100 | NJ | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1419206400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1540771200000",
"number": "1730577909",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "60-2 PROSPECT ST",
"city": "METUCHEN",
"state": "NJ",
"postal_code": "088402286",
"telephone_number": "732-609-1232"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "481 MEMORIAL PKWY STE 2",
"city": "METUCHEN",
"state": "NJ",
"postal_code": "088401766",
"telephone_number": "732-321-7056"
}
],
"practiceLocations": [
{
"address_1": "144 New Jersey 34",
"address_purpose": "LOCATION",
"city": "Matawan",
"state": "NJ",
"postal_code": "07747",
"country_code": "US",
"telephone_number": "732-662-2525",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CHAN",
"first_name": "JADE",
"name_prefix": "Ms.",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-12-22",
"last_updated": "2018-10-29",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NJ",
"license": "40QA01563100",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Metuchen, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.