Organization Active NPI

Kye Co Internal & Rehabilitative Medicine, PA

  • Internal Medicine Physician
  • Millburn, NJ
National Provider Identifier
1962447144
Registry record updated Jul 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MB64114 Issued in NJ
Legal business name
KYE CO INTERNAL & REHABILITATIVE MEDICINE, PA
Practice address
100 Millburn Ave
Millburn, NJ 07041-1940
Phone
(973) 616-7117
Fax
(973) 616-7338
NPI assigned
Jun 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2008

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

Authorized official

Name
Kye S Chun, DO
Title
Owner
Phone
(973) 616-7117

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X MB64114 NJ Primary
Physical Medicine & Rehabilitation PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208100000X MB64114 NJ

Addresses

Primary practice location

100 Millburn Ave
Millburn, NJ 07041-1940

Mailing address

100 Millburn Ave
Millburn, NJ 07041-1940
Phone (973) 616-7117

Other identifiers 3

IdentifierTypeStateIssuer
P2032183OtherNJOXFORD
KC05C94510OtherNJEMPIRE BC/BS
110214633OtherNJUNITED HEALTHCARE RAILROA

National Provider Directory

National Provider Directory

Locations

2333 Morris Ave
Ste B13
Union, NJ 07083
Phone (908) 964-3333

NPI Registry JSON

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

{
    "created_epoch": "1150675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215561600000",
    "number": "1962447144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 MILLBURN AVE",
            "city": "MILLBURN",
            "state": "NJ",
            "postal_code": "070411940",
            "telephone_number": "973-616-7117",
            "fax_number": "973-616-7338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 MILLBURN AVE",
            "city": "MILLBURN",
            "state": "NJ",
            "postal_code": "070411940",
            "telephone_number": "973-616-7117",
            "fax_number": "973-616-7338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KYE CO INTERNAL & REHABILITATIVE MEDICINE, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-19",
        "last_updated": "2008-07-09",
        "status": "A",
        "authorized_official_last_name": "CHUN",
        "authorized_official_first_name": "KYE",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-616-7117",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "MB64114",
            "primary": true
        },
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NJ",
            "license": "MB64114",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P2032183",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE BC/BS",
            "identifier": "KC05C94510",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE RAILROA",
            "identifier": "110214633",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Millburn, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.