Active NPI
Kyung H Chu
- Adult Health Nurse Practitioner
- Belleville, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- F305303-1
- Practice address
- 1 Clara Maass Dr Ste 200
Belleville, NJ 07109-3550 - Phone
- (973) 751-8880
- Fax
- (973) 751-8950
- NPI assigned
- Feb 26, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | F305303-1 | NY | Primary |
Addresses
Primary practice location
1 Clara Maass Dr Ste 200
Belleville, NJ 07109-3550
Mailing address
1 Clara Maass Dr Ste 200
Belleville, NJ 07109-3550
Phone (973) 751-8880
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 26NJ00737300 | Other | NJ | MEDICAL LICENSE |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
30 Prospect Ave
Hackensack, NJ 07601-1915
Phone (844) 346-7222
776 E 3Rd Ave
Roselle, NJ 07203-1698
Phone (609) 835-2900
Hospital & facility affiliations
- Clara Maass Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F305303-1 | NY | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Regional Cancer Care Associates LLC | Current | Accepting new patients | |
| Regional Cancer Care Associates LLC | Current | Accepting new patients |
Locations
1 Clara Maass Dr
Belleville, NJ 07109
Phone (973) 450-2008
1 Clara Maass Dr
Ste 200
Belleville, NJ 07109
Phone (973) 744-8000
30 Prospect Ave
Hackensack, NJ 07601
Phone (201) 488-0066
1 Bay Ave
Montclair, NJ 07042
Phone (973) 429-6100
1 Bay Ave
Ste 2
Montclair, NJ 07042
Phone (201) 792-9011
776 E 3rd Ave
Roselle, NJ 07203
Phone (908) 241-5545
Interoperability endpoints
- kchu250990@epicdirect.rwjbh.org
Organizations & group practices 2
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.
-
- Hematology & Oncology Physician
- Toms River, NJ
- NPI 1801850243
-
- Hematology & Oncology Physician
- Belleville, NJ
- NPI 1447315502
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Belleville, NJ
- NPI 1902901333
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1267142400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1583193600000",
"number": "1962724393",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 CLARA MAASS DR STE 200",
"city": "BELLEVILLE",
"state": "NJ",
"postal_code": "071093550",
"telephone_number": "973-751-8880",
"fax_number": "973-751-8950"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 CLARA MAASS DR STE 200",
"city": "BELLEVILLE",
"state": "NJ",
"postal_code": "071093550",
"telephone_number": "973-751-8880",
"fax_number": "973-751-8950"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHU",
"first_name": "KYUNG",
"middle_name": "H",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-02-26",
"last_updated": "2020-03-03",
"certification_date": "2020-03-03",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "NY",
"license": "F305303-1",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LICENSE",
"identifier": "26NJ00737300",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Belleville, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2020; 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.