Active NPI
Christina Ai-Ling Chu, O.D.
- Optometrist
- Jersey City, NJ
National Provider Identifier
1891041307
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 27OA00641000
- Practice address
- 30-267 Mall Dr. West
Jersey City, NJ 07310 - Phone
- (201) 798-0303
- Fax
- (201) 798-6021
- NPI assigned
- Aug 2, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 27OA00641000 | NJ | Primary |
| Optometrist | 152W00000X | 007889 | NY |
Addresses
Primary practice location
30-267 Mall Dr. West
Jersey City, NJ 07310
Mailing address
30-267 Mall Dr. West
Jersey City, NJ 07310
Phone (201) 798-0303
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 27OA00641000 | NJ | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Citilight Optometry, P.C. | Optometrist | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Optometrist
- Jersey City, NJ
- NPI 1366605289
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1343865600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1343865600000",
"number": "1891041307",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30-267 MALL DR. WEST",
"city": "JERSEY CITY",
"state": "NJ",
"postal_code": "07310",
"telephone_number": "201-798-0303",
"fax_number": "201-798-6021"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30-267 MALL DR. WEST",
"city": "JERSEY CITY",
"state": "NJ",
"postal_code": "07310",
"telephone_number": "201-798-0303",
"fax_number": "201-798-6021"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHU",
"first_name": "CHRISTINA",
"middle_name": "AI-LING",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-08-02",
"last_updated": "2012-08-02",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NJ",
"license": "27OA00641000",
"primary": true
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NY",
"license": "007889",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jersey City, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.