| Justin Chua, MD | |
|
111 Clock Tower Cmns, Brewster, NY 10509-4055 | |
| (845) 279-5187 | |
| (855) 703-7570 |
| Full Name | Justin Chua |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 10 Years |
| Location | 111 Clock Tower Cmns, Brewster, New York |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154856755 | NPI | - | NPPES |
| 07085129 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 306036-01 (New York) | Primary |
| 207Q00000X | Family Medicine | MT212671 (Pennsylvania) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Columbia Memorial Hospital | Hudson, NY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Columbia Memorial Hospital | 5092709410 | 171 |
| Entity Name | Columbia Memorial Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083639587 PECOS PAC ID: 5092709410 Enrollment ID: O20040409000109 |
| Entity Name | Northern Medical Group, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174994826 PECOS PAC ID: 6901104157 Enrollment ID: O20160421000442 |
| Mailing Address | Practice Location Address |
|---|---|
| Justin Chua, MD 111 Clock Tower Cmns, Brewster, NY 10509-4055 Ph: (845) 279-5187 | Justin Chua, MD 111 Clock Tower Cmns, Brewster, NY 10509-4055 Ph: (845) 279-5187 |
Daniela Cristina Diaz, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 155 Main St, Brewster, NY 10509 Phone: 845-279-6999 Fax: 845-279-0908 | |
Dr. Thomas Richard Castiglia, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 111 Clock Tower Cmns, Brewster, NY 10509 Phone: 845-592-4915 | |
Dr. Jay Abram Zaslow, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 155 Main St, Brewster, NY 10509 Phone: 845-279-6999 Fax: 845-279-0908 | |
Dr. Jessica Ann Wilson, M.D Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 155 Main St, Brewster, NY 10509 Phone: 845-279-6999 | |
Dr. Yardley Volcy, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 185 Route 312, Brewster, NY 10509 Phone: 845-278-7000 |