Caleb Y. Chung, DPM, PC

Primary specialty

Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X

License

25MD00263100 Issued in NJ

Legal business name

CALEB Y. CHUNG, DPM, PC

Practice address

570 Main St Ste 101
Fort Lee, NJ 07024-5058

Phone

(201) 363-1200

Fax

(201) 363-1600

NPI assigned

Nov 6, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Caleb Young-Ju Chung, DPMNPI 1962440164

Title

President

Phone

(201) 363-1200

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ2 enrollments

Enrollment records 2

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Caleb Young-Ju Chung, DPM

  • Podiatrist
  • Fort Lee, NJ
  • NPI 1962440164
  Medicare reassignment NPD Authorized official
• Jong Eui Choi, M.D.

  • Anesthesiology Physician
  • Hackensack, NJ
  • NPI 1598787939
  NPD (past)

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

{
    "created_epoch": "1194307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658102400000",
    "number": "1871773903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "570 MAIN ST STE 101",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "070245058",
            "telephone_number": "201-363-1200",
            "fax_number": "201-363-1600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "570 MAIN ST STE 101",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "070245058",
            "telephone_number": "201-363-1200",
            "fax_number": "201-363-1600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALEB Y. CHUNG, DPM, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-06",
        "last_updated": "2022-07-18",
        "certification_date": "2022-07-18",
        "status": "A",
        "authorized_official_last_name": "CHUNG",
        "authorized_official_first_name": "CALEB",
        "authorized_official_middle_name": "YOUNG-JU",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-363-1200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "NJ",
            "license": "25MD00263100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alla Brutter, MS, CCC-SLP
• Jamie L Buljeta, MED, BCBA
• Catherine Xin Wu Burnett, LSW, LMSW
• BW Orthopedics LLC
• Mary Christine Y Cabrera, RPT
• Norman J Calihman, DPM
• Santos A. Camilo, R.PH
• Meaghan E Campbell-Tatulli, RDN
• Risory Caraballo, MSW
• Vincent Carrao, DDS, MD

• Primary Podiatric Medicine Podiatrist in Fort Lee, NJ
• Providers in Fort Lee, NJ by specialty
• Primary Podiatric Medicine Podiatrist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.