Individual provider Active NPI

Ronald Cha, RN, ACNP-BC

  • Acute Care Clinical Nurse Specialist
  • Edison, NJ
National Provider Identifier
1871914481
Registry record updated Dec 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Clinical Nurse SpecialistTaxonomy code 364SA2100X
License
26NJ00480400 Issued in NJ
Practice address
34-36 Progress St
Suite a-7
Edison, NJ 08820-1197
Phone
(908) 769-1440
Fax
(908) 769-0945
NPI assigned
Dec 27, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Clinical Nurse Specialist 364SA2100X 26NJ00480400 NJ Primary
Critical Care Medicine Clinical Nurse Specialist 364SC0200X 26NJ00480400 NJ

Addresses

Primary practice location

34-36 Progress St
Suite a-7
Edison, NJ 08820-1197

Mailing address

34-36 Progress St
Suite a-7
Edison, NJ 08820-1197
Phone (908) 769-1440

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140717000899 NJ Practitioner - Nurse Practitioner 4486870037 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner, Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Edison Nephrorlogy Consultants CurrentSince Mar 4, 2014 Accepting new patients

Locations

36 Progress St
Ste A7
Edison, NJ 08820
Phone (732) 669-0077

34-36 Progress St
Ste A7
Edison, NJ 08820
Phone (908) 769-1440

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, 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": "1388102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1388102400000",
    "number": "1871914481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34-36 PROGRESS ST",
            "address_2": "SUITE A-7",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088201197",
            "telephone_number": "908-769-1440",
            "fax_number": "908-769-0945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34-36 PROGRESS ST",
            "address_2": "SUITE A-7",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088201197",
            "telephone_number": "908-769-1440",
            "fax_number": "908-769-0945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHA",
        "first_name": "RONALD",
        "credential": "RN, ACNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-12-27",
        "last_updated": "2013-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SA2100X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Acute Care",
            "state": "NJ",
            "license": "26NJ00480400",
            "primary": true
        },
        {
            "code": "364SC0200X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Critical Care Medicine",
            "state": "NJ",
            "license": "26NJ00480400",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edison, NJ

Sources for this page

Verify at the official NPI Registry.