Healthcare Provider Details

I. General information

NPI: 1669496931
Provider Name (Legal Business Name): JUNG TSUNG TSAI MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/27/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

60 ELMORA AVE
ELIZABETH NJ
07202
US

IV. Provider business mailing address

60 ELMORA AVE
ELIZABETH NJ
07202
US

V. Phone/Fax

Practice location:
  • Phone: 908-355-7659
  • Fax: 908-355-7722
Mailing address:
  • Phone: 908-355-7659
  • Fax: 908-355-7722

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number25MA03727700
License Number StateNJ
# 2
Primary TaxonomyY
Taxonomy Code2086S0129X
TaxonomyVascular Surgery Physician
License Number25MA03727700
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: