DR. CHUNG J PENG (NPI# 1902938988) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902938988 |
| Entity Type | Individual |
| Full Name | DR. CHUNG J PENG |
| Credential | M.D. |
| Practice Address |
1 Blackberry Ln North Caldwell NJ 07006-4170 |
| Practice Telephone | 9734296852 |
| Mailing Telephone | 9734296852 |
| Enumeration Date | 2007-03-12 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080N0001X |
Pediatrics Specialization: Neonatal-Perinatal Medicine |
25MA04344900 | NJ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 1352407 | 05 |
| Street Address |
1 BLACKBERRY LN |
| City | NORTH CALDWELL |
| State | NJ |
| Zip Code | 07006-4170 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063984979 | Ethan and The Bean A New Jersey Non Profit Corporation | Assistant Behavior Analyst | 31 Fairfield Avenue, West Caldwell, NJ 07006 | 2018-12-18 |
| 1083104228 | A Plus Rehab LLC | Physical Medicine & Rehabilitation | 9 Bloomfield Ave, North Caldwell, NJ 07006 | 2018-05-14 |
| 1326556564 | Salvatrice Rosalia Polizzotto | Social Worker | 249 Bloomfield Avenue, 2nd Floor, Caldwell, NJ 07006 | 2018-01-22 |
| 1750820452 | Caldwell University | Behavioral Analyst | 120 Bloombfield Avenue, Caldwell, NJ 07006 | 2017-02-15 |
| 1790151116 | Bankim Shah | Internal Medicine | 32 Wakefield Pl, Caldwell, NJ 07006 | 2015-08-19 |
| 1598157638 | Lisa Santeramo | Behavioral Analyst | 309 Westville Avenue, West Caldwell, NJ 07006 | 2015-02-26 |
| 1871832774 | Theodore K Chang | Dentist | 749 Bloomfield Ave Ste D, West Caldwell, NJ 07006 | 2013-02-12 |
| 1801132535 | Booyoung Chung | Pharmacist | 560 Passiac Ave Cvs, West Caldwell, NJ 07006 | 2012-12-28 |
| 1750611802 | Christopher Jones, Dds, P.a. | Dentist | 1129 Bloomfield Avenue, West Caldwell, NJ 07006 | 2010-01-12 |
| 1194976837 | Arthur Edward Halprin | Dentist | 277 Bloomfield Ave., Caldwell, NJ 07006 | 2008-09-30 |
| Find all providers in zip 07006 | ||||
| Taxonomy Code | 2080N0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Neonatal-Perinatal Medicine |
| A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710404454 | Onsite Neonatal PC | Pediatrics | 1000 Haddonfield Berlin Road, Suite 210, Voorhees, NJ 08043-3520 | 2017-08-24 |
| 1790126183 | Marwa A Khalil | Pediatrics | 1 Robert Wood Johnson Pl # 08901, Meb-312, New Brunswick, NJ 08901-1928 | 2013-07-13 |
| 1427398536 | Aelia Inc | Pediatrics | 405 Gregory Rd, Paramus, NJ 07652-2117 | 2013-02-26 |
| 1376782060 | Midatlantic Neonatology Associates | Pediatrics | 140 E Hanover Ave, Brinj Bldg, Cedar Knolls, NJ 07927-2011 | 2009-02-19 |
| 1952571515 | John Freddy Ladino | Pediatrics | 100 Madison Ave # 85, Morristown, NJ 07960-6136 | 2008-03-10 |
| 1205040425 | Fawaz Kashlan | Pediatrics | 5 Springhouse Rd, Ocean, NJ 07712-3727 | 2007-05-09 |
| 1134243389 | Robert L Simon | Pediatrics | 34 Cedar Ln, Bridgeton, NJ 08302-7152 | 2007-03-16 |
| 1285701094 | Mary Beth Browne | Pediatrics | 1571 Horseshoe Dr, Manasquan, NJ 08736-2700 | 2006-11-29 |
| 1922182310 | Judy G Saslow | Pediatrics | One Cooper Plaza 7th Floor Dorrance, Camden, NJ 08103 | 2006-10-24 |
| 1447330253 | Vicente Garcia Tan | Pediatrics | 3342 J.f.kennedy Blvd., Jersey, NJ 07307-4233 | 2006-10-16 |
| Find all providers with the same taxonomy | ||||
| City | NORTH CALDWELL |
| Zip Code | 07006 |
Please comment or provide details below to improve the information on DR. CHUNG J PENG.
| 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.