Individual provider Active NPI

Hei Jin Chung, MD

  • Specialist
  • Phillipsburg, NJ
National Provider Identifier
1821077868
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MA072934 Issued in NJ
Practice address
601 Coventry Dr
Phillipsburg, NJ 08865-1971
Phone
(908) 859-5676
Fax
(908) 859-2576
NPI assigned
Jan 10, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X MA072934 NJ Primary
Specialist 174400000X MD074263L PA

Addresses

Primary practice location

601 Coventry Dr
Phillipsburg, NJ 08865-1971

Mailing address

601 Coventry Dr
Phillipsburg, NJ 08865-1971
Phone (908) 859-5676

Other identifiers 17

IdentifierTypeStateIssuer
270008717OtherPAQUALCARE
85954OtherNJLOCAL 825
CH1425338OtherPAPA BLUE SHIELD
2109928000OtherNJAMERIHEALTHKEYSTONE
11136559OtherNJMULTIPLAN
7443025OtherNJAETNA TRADITIONAL
01000442-00OtherNJAMERICHOICE
270008717OtherNJHORIZON
AMERIGROUPOtherNJAMERIGROUP
0198951OtherNJGHI
8938105MedicaidNJ
AMERIHEALTHOtherNJAMERIHEALTH
NJ CARPENTERSOtherNJNJ CARPENTERS
2811617OtherNJAETNA HMO
270008717OtherNJCHN
CIGNAOtherNJ4888037004
P2667606OtherNJOXFORD

Medicare participation

Medicare enrollment files
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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040102000411 NJ Practitioner - Vascular SurgeryPractitioner - General Surgery 9638078223 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Vascular SurgeryAlso: General Surgery
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

601 Coventry Dr
Phillipsburg, NJ 08865-1971

Hospital & facility affiliations

  • St Luke'S Warren Hospital Hospital, Phillipsburg, NJ, CCN 310060

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal53
Melanoma (skin cancer) excision1-10
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA072934NJMDSpecialist
MD074263LPAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Hei Jin Chung,M.D.,P.C. CurrentSince Aug 10, 2001 Accepting new patients

Locations

601 Coventry Dr
Phillipsburg, NJ 08865
Phone (908) 589-5676

10 Brass Castle Rd
Washington, NJ 07882
Phone (908) 835-1910

1412 Sullivan Trl
Easton, PA 18040
Phone (610) 258-9081

Organizations & group practices 1

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 1

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": "1136851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1821077868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 COVENTRY DR",
            "city": "PHILLIPSBURG",
            "state": "NJ",
            "postal_code": "088651971",
            "telephone_number": "908-859-5676",
            "fax_number": "908-859-2576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 COVENTRY DR",
            "city": "PHILLIPSBURG",
            "state": "NJ",
            "postal_code": "088651971",
            "telephone_number": "908-859-5676",
            "fax_number": "908-859-2576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHUNG",
        "first_name": "HEI JIN",
        "name_prefix": "Mrs.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-10",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NJ",
            "license": "MA072934",
            "primary": true
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "PA",
            "license": "MD074263L",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "QUALCARE",
            "identifier": "270008717",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LOCAL 825",
            "identifier": "85954",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PA BLUE SHIELD",
            "identifier": "CH1425338",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTHKEYSTONE",
            "identifier": "2109928000",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MULTIPLAN",
            "identifier": "11136559",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA TRADITIONAL",
            "identifier": "7443025",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICHOICE",
            "identifier": "01000442-00",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HORIZON",
            "identifier": "270008717",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP",
            "identifier": "AMERIGROUP",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "0198951",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8938105",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH",
            "identifier": "AMERIHEALTH",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NJ CARPENTERS",
            "identifier": "NJ CARPENTERS",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO",
            "identifier": "2811617",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHN",
            "identifier": "270008717",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "4888037004",
            "identifier": "CIGNA",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P2667606",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phillipsburg, NJ

Sources for this page

Verify at the official NPI Registry.