Jacqueline Ko Chiong

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

26NJ00859300 Issued in NJ

Practice address

901 Route 73 N Ste C
Marlton, NJ 08053-1226

Phone

(856) 581-9711

Fax

(856) 581-9712

NPI assigned

Oct 4, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2018

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Group practices

Py Medical Services of NJ LLCGroup PAC ID 6901276922, 46 clinicians

Azz Medical Associates PCGroup PAC ID 6002132685, 63 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Bayada at Inspira, Home Health and Hospice Home health agency, Millville, NJ, CCN 317089
• Inspira Medical Center Mullica Hill Hospital, Elmer, NJ, CCN 310069

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Py Medical Services of NJ LLC

  • Multi-Specialty Clinic/Center
  • Newark, NJ
  • NPI 1942912381
  Medicare reassignment Care Compare group NPD
• Azz Medical Associates PC

  • Internal Medicine Physician
  • Ewing, NJ
  • NPI 1699704809
  Medicare reassignment Care Compare group

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Inspira Medical Centers, Inc.

  dba Inspira Medical Center Elmer

  • General Acute Care Hospital
  • Elmer, NJ
  • NPI 1255396024
  Care Compare affiliation
• Inspira Medical Centers, Inc.

  dba Inspira Medical Center Mullica Hill

  • General Acute Care Hospital
  • Mullica Hill, NJ
  • NPI 1366097032
  Care Compare affiliation
• South Jersey Hospital, Inc.

  dba SJH Sports Rehab Care - Tomlin Station

  • Physical Therapy Clinic/Center
  • Mullica Hill, NJ
  • NPI 1609158732

  Hospital

  Care Compare affiliation
• Tri-County Home and Hospice Care,LLC

  dba BAYADA at Inspira, Home Health and Hospice

  • Home Health Agency
  • West Deptford, NJ
  • NPI 1629431481
  Care Compare affiliation
• Tri-County Home and Hospice Care,LLC

  dba BAYADA at Inspira, Home Health and Hospice

  • Home Health Agency
  • Millville, NJ
  • NPI 1710340575
  Care Compare affiliation

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

{
    "created_epoch": "1538611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538611200000",
    "number": "1881169985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "317 CHATHAM DR",
            "city": "WILLIAMSTOWN",
            "state": "NJ",
            "postal_code": "080948847",
            "telephone_number": "732-618-6290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 ROUTE 73 N STE C",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080531226",
            "telephone_number": "856-581-9711",
            "fax_number": "856-581-9712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHIONG",
        "first_name": "JACQUELINE",
        "middle_name": "KO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-04",
        "last_updated": "2018-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ00859300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Childress, MED, CCC/SLP
• Skyler Chillson
• Chime Therapy
• Albert S Chinappi Jr., DDS
• Archana Chinnappan, CCC-SLP
• Dajona A Chism - Lindsey
• Haritha Chityala, MD
• Han Nah Cho
• Seung in Cho, APN
• Choice Rehab, Inc.

• Family Nurse Practitioner in Marlton, NJ
• Providers in Marlton, NJ by specialty
• Family Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.