JAEHOON CHUNG (NPI# 1205138500) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205138500 |
| Entity Type | Individual |
| Full Name | JAEHOON CHUNG |
| Credential | M.D. |
| Practice Address |
216 Rout 17 North Suite 201 Rochelle Park NJ 07662 |
| Practice Telephone | 2018453535 |
| Mailing Telephone | 2018453535 |
| Enumeration Date | 2010-11-19 |
| Last Update Date | 2018-11-28 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
25MA09697100 | NJ | Allopathic & Osteopathic Physicians |
| N | 207UN0901X |
Nuclear Medicine Specialization: Nuclear Cardiology |
25MA09697100 | NJ | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 411 Emerald St, E16, Iowa City, IA 522463005 | 3195121860 | |
| 218 Rout 17 North, Suite 310, Rochelle Park, NJ 07662 | 2018453535 |
| Street Address |
216 ROUT 17 NORTH SUITE 201 |
| City | ROCHELLE PARK |
| State | NJ |
| Zip Code | 07662 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871152959 | In-session Psychotherapy Services, LLC | Marriage & Family Therapist | 151 W. Passaic Street, Office #30, Rochelle Park, NJ 07662 | 2019-06-11 |
| 1518409929 | Sensorywellness, LLC | Occupational Therapist | 336 West Passaic St, Rochelle Park, NJ 07662 | 2016-11-16 |
| 1083030076 | The Lasik Vision Institute LLC | Clinic/Center | 336 West Passaic Street, Suite 202, Rochelle Park, NJ 07662 | 2014-03-14 |
| 1023386869 | Criselda Pineda | Physical Therapist | 94 West Oldis Street, Rochelle Park, NJ 07662 | 2011-12-08 |
| 1639355720 | Bergen Care Home Health, LLC | Home Health | 365 W. Passaic Street, Suite 115, Rochelle Park, NJ 07662 | 2008-01-18 |
| 1700977535 | Humberto Luis Martinez | Psychiatry & Neurology | 175 Rochelle Avenue, Unit 323, Rochelle Park, NJ 07662 | 2006-09-27 |
| 1982702700 | New Jersey Cvs Pharmacy LLC | Pharmacy | 150 Rochelle Ave, Rochelle Park, NJ 07662 | 2006-09-20 |
| 1437169745 | Thomas John Mazejy | Dentist | 5 W Passaic St, Rochelle Park, NJ 07662 | 2006-08-09 |
| 1851392435 | Leonardo Joseph Divagno | Internal Medicine | 216 Route 17 North Ste 201, Rochelle Park, NJ 07662 | 2005-08-09 |
| 1093713521 | Select Specialty Hospital - Northeast New Jersey Inc | Long Term Care Hospital | 96 Parkway, Rochelle, NJ 07662 | 2005-07-08 |
| Find all providers in zip 07662 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588680110 | Divagno Interventional Cardiology Md Pa | Internal Medicine | 218 State Rt 17 N, Suite 310, Rochelle Park, NJ 07662-3399 | 2006-07-15 |
| 1851392435 | Leonardo Joseph Divagno | Internal Medicine | 216 Route 17 North Ste 201, Rochelle Park, NJ 07662 | 2005-08-09 |
| 1104168616 | Rochelle Park Cardiac Center Corporation | Internal Medicine | 186 Rochelle Ave, Rochelle Park, NJ 07662-4111 | 2013-03-22 |
| 1124362751 | Rochelle Park Cardiac Care Center LLC | Internal Medicine | 186 Rochelle Ave, Rochelle Park, NJ 07662-4111 | 2012-11-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770109688 | Cardioconsultz Professional Corporation | Internal Medicine | 512 Washington Ter, Audubon, NJ 08106-2221 | 2020-06-17 |
| 1558994566 | Comprehensive Cardiovascular Consultants of Nj | Internal Medicine | 575 Route 28 Ste 3107, Raritan, NJ 08869-1354 | 2020-02-18 |
| 1992342349 | Heart & Vascular Care Consultants LLC | Internal Medicine | 3379 Quakerbridge Rd Ste 201, Hamilton, NJ 08619-1269 | 2019-12-04 |
| 1083269146 | Helio Malinverni Md Pa | Internal Medicine | 100 Federal City Rd Ste C-103, Lawrenceville, NJ 08648-1664 | 2019-08-06 |
| 1437718855 | Optimum Heart & Medical Care LLC | Internal Medicine | 172 Summerhill Rd Ste 4, East Brunswick, NJ 08816 | 2019-06-10 |
| 1760946974 | Advanced Medical & Cosmetic Center LLC | Internal Medicine | 208 Harristown Rd # Ll-2a, Glen Rock, NJ 07452-3308 | 2019-01-22 |
| 1447765102 | Consultative Cardiology LLC | Internal Medicine | 115 Van Cleef, Whitehouse Station, NJ 08889-3746 | 2017-12-04 |
| 1124531280 | Christiana Care Health Initiatives | Internal Medicine | 125 East Ave Ste D, Woodstown, NJ 08098-1351 | 2017-11-13 |
| 1427569938 | Paul Deutsch | Internal Medicine | 30 Brinkerhoff Ave, Teaneck, NJ 07666-3126 | 2017-10-24 |
| 1174064984 | Szt Medical LLC | Internal Medicine | 424 Hidden Valley Ct, Wyckoff, NJ 07481-1557 | 2017-03-13 |
| Find all providers with the same taxonomy | ||||
| City | ROCHELLE PARK |
| Zip Code | 07662 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.