Individual provider Active NPI

Alexander Chiu, MD

  • Emergency Medicine Physician
  • Iselin, NJ
National Provider Identifier
1871754937
Registry record updated May 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
25MA09057500 Issued in NJ
Practice address
120 Wood Ave S
Suite 401
Iselin, NJ 08830-2736
Phone
(510) 912-3636
NPI assigned
Jun 21, 2008
Last updated
May 11, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 11, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 25MA09057500 NJ Primary

Addresses

Primary practice location

120 Wood Ave S
Suite 401
Iselin, NJ 08830-2736

Mailing address

120 Wood Ave S
Suite 401
Iselin, NJ 08830-2736
Phone (510) 912-3636

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20260429000828 CA Practitioner - Emergency Medicine 8123283355 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2007
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

4100 International PLZ
Fort Worth, TX 76109-4800

4100 International PLZ
Suite 800
Fort Worth, TX 76109-4839

4535 Dressier Rd NW
Canton, OH 44718-2545

PO Box
Los Angeles, CA 90074

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Coney Island Medical Practice Plan, P.C. CurrentSince Mar 17, 2015 Accepting new patients
Garden State Healthcare Associates, LLC Emergency Medicine CurrentSince Jul 1, 2012 Accepting new patients
Center for Remote Medical Management LLC Past Accepting new patients
Center for Remote Medical Management LLC Past Accepting new patients
Center for Remote Medical Management LLC Past Accepting new patients
Center for Remote Medical Management LLC Past Accepting new patients

Locations

308 Willow Ave
Hoboken, NJ 07030
Phone (201) 418-1574

2601 Ocean Pkwy
Brooklyn, NY 11235
Phone (718) 616-5354

Interoperability endpoints

  • Direct secure messaging: alexander.chiu.1@9696.direct.athenahealth.com

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1214006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1494460800000",
    "number": "1871754937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 WOOD AVE S",
            "address_2": "SUITE 401",
            "city": "ISELIN",
            "state": "NJ",
            "postal_code": "088302736",
            "telephone_number": "510-912-3636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 WOOD AVE S",
            "address_2": "SUITE 401",
            "city": "ISELIN",
            "state": "NJ",
            "postal_code": "088302736",
            "telephone_number": "510-912-3636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHIU",
        "first_name": "ALEXANDER",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-21",
        "last_updated": "2017-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NJ",
            "license": "25MA09057500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Iselin, NJ

Sources for this page

Verify at the official NPI Registry.