Provider Demographics
NPI:1437385424
Name:CHIU, JASON CHI-SHIN (MD)
Entity Type:Individual
Prefix:DR
First Name:JASON
Middle Name:CHI-SHIN
Last Name:CHIU
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:CHI-SHIN
Other - Middle Name:JASON
Other - Last Name:CHIU
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:2 DEAN DR
Mailing Address - Street 2:
Mailing Address - City:TENAFLY
Mailing Address - State:NJ
Mailing Address - Zip Code:07670-2765
Mailing Address - Country:US
Mailing Address - Phone:201-592-7246
Mailing Address - Fax:201-540-9978
Practice Address - Street 1:2 DEAN DR LOWR LEVEL
Practice Address - Street 2:
Practice Address - City:TENAFLY
Practice Address - State:NJ
Practice Address - Zip Code:07670-2765
Practice Address - Country:US
Practice Address - Phone:201-592-7246
Practice Address - Fax:201-540-9978
Is Sole Proprietor?:No
Enumeration Date:2009-06-03
Last Update Date:2023-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA09493200207L00000X, 207LP2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine
No207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0410721Medicaid
366633YAABMedicare PIN
366633CNKMedicare PIN