Chou Sok Taing, PA-C
Individual provider Active NPI Physician Assistant · Hamilton, NJ
NPI 1821399429 · NPPES record last updated Nov 12, 2010
Key facts
- NPI
- 1821399429
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- MA054737 (PA)
- Practice address
- 1401 Whitehorse Mercerville Rd
Suite 212
Hamilton, NJ 08619-3835 - Phone
- (609) 588-5081
- Fax
- (609) 588-5086
- NPI assigned
- Nov 12, 2010
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 6
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Jefferson University Physicians
Practice addresses (Care Compare)
2301 S Broad St
Philadelphia, PA 19148-3542
Phone (215) 952-7444
925 Chestnut St
Suite 3
Philadelphia, PA 19107-4216
Phone (215) 955-8874
Hospital & facility affiliations
- Thomas Jefferson University Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140507001863 | PA | Practitioner - Physician Assistant | 7315105210 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA054737 | PA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jefferson University Physicians | Current |
Accepting new patients | |
| Stroke & Cerebrovascular Center of New Jersey | Past | Accepting new patients | |
| Uhs of Pennsylvania Inc | Past | Accepting new patients | |
| Stroke & Cerebrovascular Center of New Jersey PC | Past | Accepting new patients | |
| Jefferson University Physicians | Past | Accepting new patients |
Locations
1300 Wolf St
Fl 1
Philadelphia, PA 19148
Phone (215) 551-0360
1100 Walnut St
Fl 5
Philadelphia, PA 19107
Phone (215) 955-6750
925 Chestnut St
Fl 6
Philadelphia, PA 19107
Phone (215) 955-6760
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | MA054737 | PA | Yes |
Addresses
Primary practice location
1401 Whitehorse Mercerville Rd
Suite 212
Hamilton, NJ 08619-3835
Mailing address
1401 Whitehorse Mercerville Rd
Suite 212
Hamilton, NJ 08619-3835
Phone (609) 588-5081
Other providers in Hamilton, NJ
- Syed F Sajjad
- Syed S. Ahmad, MD PA
- David Charles Szarka
- Michelle Szwed
- Khaled Taha
- Abraham Tak
- Nicholas Joseph Talotta Jr.
- Brian Anthony Tamburello
- Lei Tang
- Danielle Tararuj
All providers in Hamilton, NJ · Physician Assistant in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 12, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.