Physician Compare National (NPI:1710240601)

HEALTHCARE PROVIDER: BRIAN LEE JU MD

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1710240601
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	2163720988
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20180801001369
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	JU
	Individual professional last name
Provider First Name	BRIAN
	Individual professional first name
Provider Middle Name	LEE
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	YALE UNIVERSITY SCHOOL OF MEDICINE
	Individual professional's medical school
Graduation Year	2012
	Individual professional's medical school graduation year
Primary Specialty	DIAGNOSTIC RADIOLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	CLINICAL HEALTH CARE ASSOCIATES OF NEW JERSEY PC
	Legal name of the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Group Practice PAC ID	0749180198
	Unique Group Practice ID assigned by PECOS to the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Number of Group Practice members	363
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	1865 ROUTE 70 E 210
	Group Practice or individual's line 1 address
Marker of address line 2 suppression	Y
	Marker that address as reported may be incomplete
City	CHERRY HILL
	Group Practice or individual's city
State	NJ
	Group Practice or individual's state
Zip Code	080032013
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	390179
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	CHESTER COUNTY HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	390127
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	PHOENIXVILLE HOSPITAL
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	390111
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	HOSPITAL OF UNIV OF PENNSYLVANIA
	Legal business name of hospital where individual professional provides service 3
Professional Accepts Medicare Assignment	Y