Chung, Caleb Young-Ju

Chung, Caleb Young-Ju is an individual health care provider with primary practice located at 570 Main St Ste 101 , Fort Lee NJ 07024-5058. He recently has 4 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine, Podiatric Medicine & Surgery Service Providers / Radiology, Podiatric Medicine & Surgery Service Providers / Foot Surgery, Podiatric Medicine & Surgery Service Providers / Podiatrist. Podiatric Medicine & Surgery Service Providers / Podiatrist is his primary health care specialty. Chung, Caleb Young-Ju can be contacted via phone (201) 363-1200.

Contact Information

Primary practice address
570 Main St Ste 101 Fort Lee NJ 07024-5058
Phone: (201) 363-1200
Fax: (201) 363-1600
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine 213EP1101X 25MD00263100 New Jersey
Podiatric Medicine & Surgery Service Providers / Radiology 213ER0200X 25MD00263100 New Jersey
Podiatric Medicine & Surgery Service Providers / Foot Surgery 213ES0131X 25MD00263100 New Jersey
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 25MD00263100 New Jersey

Profile Details

NPI number 1962440164
LBN Legal business name Chung, Caleb Young-Ju
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 2nd, 2006
Last updated Jul 15th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1962440164 NPPES
New Jersey Other 1953226 FIRST HEALTH
New Jersey Other 38688 FIRST HEALTH
New Jersey Other 2289032 FIRST HEALTH
New Jersey Other 8891202002 FIRST HEALTH
New Jersey Other PG6032 FIRST HEALTH
New Jersey Other 1147720 FIRST HEALTH
New Jersey Other 1K8521 FIRST HEALTH
New Jersey Other 2106180000 FIRST HEALTH
New Jersey Other 33046 FIRST HEALTH
New Jersey Other 967806 FIRST HEALTH
New Jersey Other 51508 FIRST HEALTH
New Jersey Other 85344 FIRST HEALTH
New Jersey MEDICAID 8569207 FIRST HEALTH
New Jersey Other P2525266 FIRST HEALTH

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