Provider Demographics
NPI:1548227663
Name:CHUN, JAY YOUNG (MD)
Entity type:Individual
Prefix:DR
First Name:JAY
Middle Name:YOUNG
Last Name:CHUN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:33 OVERLOOK RD STE 305
Mailing Address - Street 2:
Mailing Address - City:SUMMIT
Mailing Address - State:NJ
Mailing Address - Zip Code:07901-3563
Mailing Address - Country:US
Mailing Address - Phone:908-376-1520
Mailing Address - Fax:908-503-0090
Practice Address - Street 1:33 OVERLOOK RD STE 305
Practice Address - Street 2:
Practice Address - City:SUMMIT
Practice Address - State:NJ
Practice Address - Zip Code:07901-3563
Practice Address - Country:US
Practice Address - Phone:908-376-1520
Practice Address - Fax:908-503-0090
Is Sole Proprietor?:No
Enumeration Date:2006-05-01
Last Update Date:2024-08-30
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NJ25MA07749300207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ10073857Medicaid
NJ085547A29Medicare ID - Type Unspecified
NJ10073857Medicaid