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Enrollment ID I20040407000012 resolves to a single NPI record. Open the full profile for complete detail.

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CC
NPI · 1962440164 · Active
Caleb Chung DPM
Podiatry · Fort Lee, New Jersey
Active
NPI
1962440164
Enrollment ID
I20040407000012
Taxonomy
213E00000X
Type
Practitioner - Podiatry

Medicare enrollment

This provider holds a Medicare enrollment on file with the Provider Enrollment, Chain and Ownership System (PECOS). Each enrollment carries a public Medicare Enrollment ID (ENRLMT_ID) used by billers and intermediaries.

Practitioner

Source: CMS PECOS public enrollment file.

Secondary identifiers

Additional identifiers this provider has registered with NPPES. Used by medical billers, credentialers, and insurance verifiers to cross-reference claims and enrollments.

Other

  • 1953226NJ· Issued by FIRST HEALTH
  • 38688NJ· Issued by MASTERCARE
  • 2289032NJ· Issued by UNITEDHEALTH PLAN
  • 8891202002NJ· Issued by CIGNA
  • PG6032NJ· Issued by WELL CHOICE
  • 1147720NJ· Issued by HORIZON NJ HEALTH
  • 1K8521NJ· Issued by HEALTHNET
  • 2106180000NJ· Issued by AMERIHEALTH
  • 33046NJ· Issued by UNIVERSITY HEALTH PLAN
  • 967806NJ· Issued by ONE HEALTH PLAN
  • 51508NJ· Issued by AMERIGROUP
  • 85344NJ· Issued by OPERATING ENG LOCAL 825
  • P2525266NJ· Issued by OXFORD

Medicaid

Source: NPPES public registry.

ReferenceAbout Medicare Enrollment IDs

A Medicare Enrollment ID (ENRLMT_ID) is a 15-character public identifier assigned by the CMS Provider Enrollment, Chain and Ownership System (PECOS) when a provider, supplier, or organisation enrols in Medicare. Each row reflects one enrolment record: a single NPI can hold multiple enrolments across provider types, states, or supplier categories. Data here is mirrored from the quarterly public PECOS enrolment file published on data.cms.gov.