| Jae Hoon Cha, | |
|
1132 Cooper St, Deptford, NJ 08096-3014 | |
| (856) 848-8060 | |
| (856) 848-8038 |
| Full Name | Jae Hoon Cha |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 3 Years |
| Location | 1132 Cooper St, Deptford, New Jersey |
| 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 |
|---|---|---|---|
| 1669225991 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 26NJ15052700 (New Jersey) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ultra Care Clinics Llc | 4284957069 | 3 |
| Entity Name | Ultra Care Clinics Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285034108 PECOS PAC ID: 4284957069 Enrollment ID: O20141231001130 |
| Mailing Address | Practice Location Address |
|---|---|
| Jae Hoon Cha, 1132 Cooper St, Deptford, NJ 08096-3014 Ph: (856) 848-8060 | Jae Hoon Cha, 1132 Cooper St, Deptford, NJ 08096-3014 Ph: (856) 848-8060 |
Eunice Salazar, DNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 13 Kraemer Ct, Deptford, NJ 08096 Phone: 267-467-5367 | |
Elizabeth Forman, APN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 849 Cooper St, Deptford, NJ 08096 Phone: 856-848-6346 | |
Mrs. Sharon M. Ceravolo, APN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 849 Cooper St, Deptford, NJ 08096 Phone: 856-848-6346 Fax: 856-848-5734 | |
Maryann Ho, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 849 Cooper St, Deptford, NJ 08096 Phone: 856-848-6346 | |
Ashley Orielle Roane, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1511 Clements Bridge Rd, Deptford, NJ 08096 Phone: 856-845-9400 | |
Jennifer Marie Wallace, NURSE PRACTITIONER Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 202 Cabot Ct, Deptford, NJ 08096 Phone: 856-885-4579 |