NPIMap

Organization Active NPI

Young S. Chae M.D. Pediatric, LLC

  • Pediatrics Physician
  • Edison, NJ
National Provider Identifier
1831449792
Registry record updated Jul 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
25MA06609900 Issued in NJ
Legal business name
YOUNG S. CHAE M.D. PEDIATRIC, LLC
Practice address
2 State Route 27
Suite#111
Edison, NJ 08820-3961
Phone
(732) 632-8094
Fax
(732) 632-8096
NPI assigned
Sep 18, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2013

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

Authorized official

Name
Dr. Young Soo Chae, M.D.
Title
Provider
Phone
(732) 632-8094

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X 25MA06609900 NJ Primary

Addresses

Primary practice location

2 State Route 27
Suite#111
Edison, NJ 08820-3961

Mailing address

2 State Route 27
Suite#111
Edison, NJ 08820-3961
Phone (732) 632-8094

National Provider Directory

National Provider Directory

Locations

2 State Route 27
Ste 111
Edison, NJ 08820
Phone (732) 632-8094

NPI Registry JSON

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

{
    "created_epoch": "1347926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1374278400000",
    "number": "1831449792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 STATE ROUTE 27",
            "address_2": "SUITE#111",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088203961",
            "telephone_number": "732-632-8094",
            "fax_number": "732-632-8096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 STATE ROUTE 27",
            "address_2": "SUITE#111",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088203961",
            "telephone_number": "732-632-8094",
            "fax_number": "732-632-8096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUNG S. CHAE M.D. PEDIATRIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-18",
        "last_updated": "2013-07-20",
        "status": "A",
        "authorized_official_last_name": "CHAE",
        "authorized_official_first_name": "YOUNG",
        "authorized_official_middle_name": "SOO",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "732-632-8094",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "NJ",
            "license": "25MA06609900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edison, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2013; 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.