DR. GRACE U CHUNG (NPI# 1235111436) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235111436 |
| Entity Type | Individual |
| Full Name | DR. GRACE U CHUNG |
| Credential | M.D. |
| Practice Address |
17 W. Red Bank Ave Suite 205 Woodbury NJ 08096 |
| Practice Telephone | 8568530900 |
| Practice Fax Number | 8568535838 |
| Mailing Telephone | 8568530900 |
| Mailing Fax Number | 8568535838 |
| Enumeration Date | 2005-11-15 |
| Last Update Date | 2013-07-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | 25MA05549000 | NJ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | BLUE SHIELD | 633461 | 01 |
| NJ | AETNA US HEALTHCARE | 24034 | 01 |
| NJ | AMERIHEALTH | 0463503000 | 01 |
| NJ | 1971808 | 05 | |
| NJ | 197180801 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215570007 | Grace E Chung | Occupational Therapist | 7336 El Domino Way Apt 2, Buena Park, CA 90620-2637 | 2019-10-23 |
| 1295139905 | Grace Chung | Dentist | 10960 S Eastern Ave Ste 112, Henderson, NV 89052 | 2014-10-09 |
| 1386060234 | Grace Chung | Nurse Practitioner | 333 S Catalina St Apt 425, Los Angeles, CA 90020-2079 | 2014-03-14 |
| 1093088726 | Grace J Chung | Obstetrics & Gynecology | 321 S Sherbourne Dr Apt 105, Los Angeles, CA 90048-3399 | 2012-02-10 |
| 1679735724 | Grace Chung | Internal Medicine | 1320 Stony Brook Road, Building D, Suite 100, Stony Brook, NY 11790 | 2008-06-30 |
| 1649451196 | Grace Yoon Mi Chung | Dentist | 27110 Eucalyptus Ave, Suite A, Moreno Valley, CA 92555-4542 | 2007-11-26 |
| 1952919367 | Grace S Chung | Pharmacist | 2275 N Mayfair Rd, Wauwatosa, WI 53226-2207 | 2020-07-21 |
| 1629554605 | Grace Chung | Social Worker | 2130 E 4th St Ste 200, Santa Ana, CA 92705-3818 | 2018-07-12 |
| 1801129234 | Grace Yeon Chung | Registered Nurse | 11201 Benton St, Loma Linda, CA 92357-1000 | 2009-09-17 |
| Street Address |
17 W. RED BANK AVE SUITE 205 |
| City | WOODBURY |
| State | NJ |
| Zip Code | 08096 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780226043 | Assoc. for Retarded Citizens, Inc. Gloucester County | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1460 Cooper Street, Deptford, NJ 08096 | 2019-10-08 |
| 1730652058 | Robert Crawford Counseling & Consultation, LLC | Counselor | Robert Crawford Counseling & Consultation, LLC, 44 Cooper Street, Suite 208, Woodbury, NJ 08096 | 2019-01-09 |
| 1902381171 | Services To Overcome Drug Abuse Among Teenagers, Inc. | Clinic/Center | 124 N Broad Street, Woodbury, NJ 08096 | 2018-10-03 |
| 1225518715 | Michael West | Pharmacist | 631 West Mantua Ave, Woodbury, NJ 08096 | 2018-08-15 |
| 1053807891 | Standing Ground Counseling, LLC | Clinic/Center | 44 Cooper Street, Suite 104, Woodbury, NJ 08096 | 2018-07-05 |
| 1376054536 | Assoc. for Retarded Citizens, Inc. Gloucester County | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 40 Hessian Avenue, Woodbury, NJ 08096 | 2017-10-16 |
| 1881105021 | Assoc. for Retarded Citizens, Inc. Gloucester County | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1154 Bennett Drive, Deptford, NJ 08096 | 2017-10-16 |
| 1215448469 | Assoc. for Retarded Citizens, Inc. Gloucester County | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 7 North Evergreen Avenue, Woodbury, NJ 08096 | 2017-10-16 |
| 1801307137 | Assoc. for Retarded Citizens, Inc. Gloucester County | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 6 North Drexel Street, Woodbury, NJ 08096 | 2017-10-13 |
| 1295253847 | Sara Alven | Social Worker | 1 Lupton Avenue, Woodbury, NJ 08096 | 2017-09-05 |
| Find all providers in zip 08096 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821125956 | Aesthetic Dermatology, LLC | Dermatology | 800 Woodbury Rd Ste A, Woodbury, NY 11797-2503 | 2007-02-27 |
| 1194834796 | Lori Randol Arnesen | Dermatology | 587 Bielenberg Dr, Suite 200, Woodbury, MN 55125-4451 | 2006-08-29 |
| 1669585089 | Howard P Horlick | Dermatology | 169 Froehlich Farm Blvd, Woodbury, NY 11797 | 2006-08-17 |
| 1699749713 | Eve Lupenko | Dermatology | 160 Crossways Park Dr, Woodbury, NY 11797 | 2006-02-15 |
| 1689181562 | Greenberg Medical Services PC | Dermatology | 160 Crossways Park Dr, Woodbury, NY 11797-2028 | 2018-01-02 |
| 1861784837 | Lydia Ioanna Turnbull | Dermatology | 587 Bielenberg Dr, Suite 200, Woodbury, MN 55125-4451 | 2011-05-10 |
| 1982865317 | Jeremy William Cook | Dermatology | 587 Bielenberg Dr, Suite 200, Woodbury, MN 55125-4451 | 2008-06-18 |
| 1659548626 | Juan P Jaimes | Dermatology | 587 Bielenberg Dr, Suite 200, Woodbury, MN 55125-4451 | 2008-05-09 |
| 1255432621 | Grace U Chung Md PC | Dermatology | 17 W Red Bank Ave, Suite 205, Woodbury, NJ 08096-1630 | 2006-09-26 |
| 1861464679 | Douglas Jason Melman | Dermatology | 800 Woodbury Rd, Ste A, Woodbury, NY 11797-2503 | 2006-02-06 |
| Find all providers in WOODBURY | ||||
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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.