Active NPIIndividual provider

Dr. Caleb Y Chung, DPM

Podiatrist in Fort Lee, New Jersey

NPI Number1962440164
Practice location
570 Main St Ste 101, Fort Lee, NJ 07024-5058
Fax
201-363-1600
Last updated
July 15, 2022

Caleb Young-Ju Chung is a Podiatrist based in Fort Lee, NJ. Caleb Young-Ju Chung practices in Fort Lee, NJ and has the professional credentials of DPM. The NPI Number for Caleb Young-Ju Chung is 1962440164 and holds a License No. 25MD00263100 (NJ). The current practice location address for Caleb Young-Ju Chung is 570 Main St Ste 101, Fort Lee, NJ 07024-5058 and can be reached out via phone at 201-363-1200 and via fax at 201-363-1600.

Provider Profile Details

NPI Number
1962440164
Provider Name
Caleb Young-Ju Chung
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
570 Main St Ste 101, Fort Lee, NJ 07024-5058
Phone Number
201-363-1200
Fax Number
201-363-1600
Primary Taxonomy
Podiatrist · 213E00000X
Sole Proprietor
No
Provider Enumeration Date
June 2, 2006
Last Update Date
July 15, 2022
Certification Date
July 15, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
570 Main St Ste 101
Fort Lee, NJ 07024-5058
Zip
07024-5058
Phone Number
201-363-1200
Fax Number
201-363-1600
Fort Lee, NJ 07024Get directions →

Provider Business Mailing Address Details

Address
570 Main St Ste 101
Fort Lee, NJ 07024-5058
City
Fort Lee
State
NJ
Zip
07024-5058
Phone Number
201-363-1200
Fax Number
201-363-1600

License Information

License Number (1)
25MD00263100
License State (1)
NJ
Taxonomy (1)
Podiatrist, Primary Podiatric Medicine · 213EP1101X
License Number (2)
25MD00263100
License State (2)
NJ
Taxonomy (2)
Podiatrist, Radiology · 213ER0200X
License Number (3)
25MD00263100
License State (3)
NJ
Taxonomy (3)
· 213ES0131X
License Number (4)
25MD00263100
License State (4)
NJ
Taxonomy (4)
Podiatrist · 213E00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

Other Podiatrists near Fort Lee, NJ

View all Podiatrists in Fort Lee →

Frequently Asked Questions

What is the NPI number of Dr. Caleb Y Chung, DPM?

The NPI number of Dr. Caleb Y Chung, DPM is 1962440164. It was assigned on June 2, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Caleb Y Chung, DPM?

Dr. Caleb Y Chung, DPM is registered under the primary taxonomy Podiatrist (code 213E00000X), licensed in NJ under license number 25MD00263100.

Where does Dr. Caleb Y Chung, DPM practice?

The practice location is 570 Main St Ste 101, Fort Lee, NJ 07024-5058. The office can be reached at 201-363-1200 (phone) or 201-363-1600 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1962440164 directly on the NPPES registry website.

Browse related providers