David Chun, M.D.
Individual provider Active NPI Diagnostic Radiology Physician · Avenel, NJ
NPI 1982603288 · NPPES record last updated Apr 15, 2008
Key facts
- NPI
- 1982603288
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Diagnostic Radiology Physician 2085R0202X
- License
- 25MA06742500 (NJ)
- Practice address
- 1500 Saint Georges Ave
Avenel, NJ 07001-1000 - Phone
- (732) 381-8686
- Fax
- (732) 499-7724
- NPI assigned
- Jul 19, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 4
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Diagnostic Radiology
- Education
- State University of New York at Stony Brook, School of Medicine, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Breast Imaging Partners, PC
Practice addresses (Care Compare)
718 Teaneck Rd
Teaneck, NJ 07666-4245
Phone (201) 833-7100
718 Teaneck Rd
Teaneck, NJ 07666-4281
Hospital & facility affiliations
- Holy Name Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110113000520 | NJ | Practitioner - Diagnostic Radiology | 9931291895 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Breast Imaging Partners, PC | Diagnostic Radiology | Current |
Accepting new patients |
| Radiology Associates, P.a. | Diagnostic Radiology | Past | Accepting new patients |
| Elizabeth Radiology Associates, P.a. | Diagnostic Radiology | Past | Accepting new patients |
| MRI of Woodbridge LLC | Past | Accepting new patients |
Locations
718 Teaneck Rd
Teaneck, NJ 07666
Phone (201) 833-3232
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 25MA06742500 | NJ | Yes |
Addresses
Primary practice location
1500 Saint Georges Ave
Avenel, NJ 07001-1000
Mailing address
1500 Saint Georges Ave
Avenel, NJ 07001-1000
Phone (732) 381-8686
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6601600 | Medicaid | NJ |
Other providers in Avenel, NJ
- Justine Cedeno
- Centro Feed
- Joseph E Cerbone
- Roja Chirra
- Roma Chokshi
- Michael Robert Cipolla
- Judy Clarke
- Colonia Pediatrics, LLC
- Creative Consulting Services, Inc.
- Clarinda Marie Cruz
All providers in Avenel, NJ · Diagnostic Radiology Physician in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 15, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.