Provider Demographics
NPI:1891882254
Name:CHEW, JASON M (DO)
Entity Type:Individual
Prefix:
First Name:JASON
Middle Name:M
Last Name:CHEW
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:201 WEST AVE
Mailing Address - Street 2:
Mailing Address - City:OCEAN CITY
Mailing Address - State:NJ
Mailing Address - Zip Code:08226-4131
Mailing Address - Country:US
Mailing Address - Phone:609-391-7500
Mailing Address - Fax:609-391-0963
Practice Address - Street 1:1213 WEST AVE
Practice Address - Street 2:
Practice Address - City:OCEAN CITY
Practice Address - State:NJ
Practice Address - Zip Code:08226-3265
Practice Address - Country:US
Practice Address - Phone:609-391-7500
Practice Address - Fax:609-391-0963
Is Sole Proprietor?:No
Enumeration Date:2006-10-06
Last Update Date:2023-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MB08299100207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ125149SBVMedicare PIN
NJ125149QLLMedicare PIN