Provider Demographics
NPI:1801862644
Name:CHENG, JENFU (MD)
Entity Type:Individual
Prefix:
First Name:JENFU
Middle Name:
Last Name:CHENG
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:170 HILL HOLLOW RD
Mailing Address - Street 2:
Mailing Address - City:WATCHUNG
Mailing Address - State:NJ
Mailing Address - Zip Code:07069-6442
Mailing Address - Country:US
Mailing Address - Phone:908-605-0259
Mailing Address - Fax:833-974-2499
Practice Address - Street 1:170 HILL HOLLOW RD
Practice Address - Street 2:
Practice Address - City:WATCHUNG
Practice Address - State:NJ
Practice Address - Zip Code:07069-6442
Practice Address - Country:US
Practice Address - Phone:908-605-0259
Practice Address - Fax:833-974-2499
Is Sole Proprietor?:No
Enumeration Date:2006-02-23
Last Update Date:2021-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA07604200208100000X, 2081P0010X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2081P0010XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationPediatric Rehabilitation Medicine
No208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ221487148OtherDEVON HEALTH NETWORK
NJ60004655OtherHORIZON NJ HEALTH
NJ7158478OtherAETNA HEALTHCARE
NJ221487148OtherMAGNACARE
NJ8082647OtherCIGNA HEALTHCARE
NJ221487148OtherMULTIPLAN
NJ221487148OtherUNITED HEALTHCARE
NJS51B01OtherEMPIRE
NJ221487148OtherGREAT WEST
NJ221487148-041OtherQUALCARE
NJ2625835000OtherAMERIHEALTH
NJ197856OtherAMERIGROUP
NJ221487148OtherPHCS
NJ3K2888OtherHEALTHNET
NJ9100159401OtherAMERICHOICE