Provider Demographics
NPI:1710319249
Name:CHUA, JANICE (APN)
Entity Type:Individual
Prefix:
First Name:JANICE
Middle Name:
Last Name:CHUA
Suffix:
Gender:F
Credentials:APN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:301 BINGHAM AVE
Mailing Address - Street 2:SUITE 1B
Mailing Address - City:OCEAN
Mailing Address - State:NJ
Mailing Address - Zip Code:07712-4762
Mailing Address - Country:US
Mailing Address - Phone:732-775-9075
Mailing Address - Fax:732-775-1212
Practice Address - Street 1:301 BINGHAM AVE
Practice Address - Street 2:SUITE 1B
Practice Address - City:OCEAN
Practice Address - State:NJ
Practice Address - Zip Code:07712-4762
Practice Address - Country:US
Practice Address - Phone:732-775-9075
Practice Address - Fax:732-775-1212
Is Sole Proprietor?:No
Enumeration Date:2013-08-07
Last Update Date:2013-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NJ00435600363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care