Healthcare Provider Details

I. General information

NPI: 1134280969
Provider Name (Legal Business Name): SUNG CHAE M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/13/2006
Last Update Date: 07/31/2026
Certification Date: 07/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

250 CHAMBERS BRIDGE RD
BRICK NJ
08723-2888
US

IV. Provider business mailing address

250 CHAMBERS BRIDGE RD
BRICK NJ
08723-2888
US

V. Phone/Fax

Practice location:
  • Phone: 732-771-2222
  • Fax: 732-771-2223
Mailing address:
  • Phone: 732-771-2222
  • Fax: 732-771-2223

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number25MA07380300
License Number StateNJ
# 2
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number25MA07380300
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: