Individual provider Active NPI

Tung T Vu

  • Physician Assistant
  • Cape May Court House, NJ
National Provider Identifier
1962030502
Registry record updated Mar 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
25MP00579200 Issued in NJ
Practice address
2 Stone Harbor Blvd
Cape May Court House, NJ 08210-2138
Phone
(609) 463-2273
NPI assigned
Mar 30, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 25MP00579200 NJ Primary

Addresses

Primary practice location

2 Stone Harbor Blvd
Cape May Court House, NJ 08210-2138

Mailing address

2 Stone Harbor Blvd
Cape May Court House, NJ 08210-2138
Phone (609) 463-2339

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
I20201006000950 NJ Practitioner - Physician Assistant 9436578770 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Atlanticare Physician Group PAGroup PAC ID 8527953660, 506 clinicians

Practice addresses (Care Compare)

100 E Main St
Tuckerton, NJ 08087-2618
Phone (609) 296-4014

459 Route 9 S
Little Egg Harbor TWP, NJ 08087-2225
Phone (609) 340-7815

627 B Cross Keys Rd
Sicklerville, NJ 08081-9562
Phone (856) 728-8700

900 Route 109
Cape May, NJ 08204-5259
Phone (609) 407-2273

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Atlanticare Physician Group, PA CurrentSince Jun 20, 2022 Accepting new patients
Cape Regional Urgent Care LLC CurrentSince Sep 27, 2020 Accepting new patients
Inspira Health Network Medical Group, P.C. Past Accepting new patients

Locations

11 Court House South Dennis Rd
Ste 3
Cape May Court House, NJ 08210
Phone (609) 465-6364

459 Route 9 S
Little Egg Harbor Twp, NJ 08087
Phone (609) 340-7815

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1585526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646611200000",
    "number": "1962030502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 STONE HARBOR BLVD",
            "city": "CAPE MAY COURT HOUSE",
            "state": "NJ",
            "postal_code": "082102138",
            "telephone_number": "609-463-2339",
            "fax_number": "609-463-2946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 STONE HARBOR BLVD",
            "city": "CAPE MAY COURT HOUSE",
            "state": "NJ",
            "postal_code": "082102138",
            "telephone_number": "609-463-2273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VU",
        "first_name": "TUNG",
        "middle_name": "T",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-03-30",
        "last_updated": "2022-03-07",
        "certification_date": "2022-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NJ",
            "license": "25MP00579200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cape May Court House, NJ

Sources for this page

Verify at the official NPI Registry.