Provider Demographics
NPI:1134280969
Name:CHAE, SUNG (MD)
Entity Type:Individual
Prefix:DR
First Name:SUNG
Middle Name:
Last Name:CHAE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:231 BLACK HORSE LANE
Mailing Address - Street 2:
Mailing Address - City:MONMOUTH JUNCTION
Mailing Address - State:NJ
Mailing Address - Zip Code:08852
Mailing Address - Country:US
Mailing Address - Phone:848-279-3001
Mailing Address - Fax:848-279-3002
Practice Address - Street 1:231 BLACK HORSE LANE
Practice Address - Street 2:
Practice Address - City:MONMOUTH JUNCTION
Practice Address - State:NJ
Practice Address - Zip Code:08852
Practice Address - Country:US
Practice Address - Phone:848-279-3001
Practice Address - Fax:848-279-3002
Is Sole Proprietor?:No
Enumeration Date:2006-12-13
Last Update Date:2023-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA07380300207V00000X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ1172960OtherHORIZON NJ HEALTH
NJ8991707Medicaid
NJ7801361OtherAETNA US HEALTHCARE
NJ2198766OtherUNITED HEALTH CARE
NJ226019101OtherHORIZON BC BS
NJ226019101OtherHORIZON BC BS
NJ7801361OtherAETNA US HEALTHCARE