MEDICARE: JASON M CHEW D.O.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	25MB08299100	NJ

General Provider Information

NPI Number	:	1891882254
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JASON M CHEW D.O.

Provider Business Mailing Address
First Line	:	23 N DELSEA DR UNIT B
Second Line	:
City	:	CLAYTON
State	:	NJ
Zip	:	08312-1637
Country	:	US
Telephone Number	:	856-423-7700
Fax Number	:	856-423-0823

Provider Business Practice Location Address
First Line	:	1213 WEST AVE
Second Line	:
City	:	OCEAN CITY
State	:	NJ
Zip	:	08226-3265
Country	:	US
Telephone Number	:	609-391-7500
Fax Number	:	609-391-0963

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/06/2006
Last Update Date	:	08/12/2024

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