KRYSTLE CHUA M.D.
NPI 1366882474
Family Medicine in Haledon, NJ

Q: What is Krystle Chua's NPI number?

The NPI number for Krystle Chua is 1366882474. It was assigned to this individual provider in the NPPES registry on July 3, 2013.

Q: What is Krystle Chua's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Krystle Chua was last updated on September 25, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 03, 2013PECOS Enrolled

401 HALEDON AVE, HALEDON, NJ 07508(973) 942-3767 Get Directions Write a Review

NPPES record last updated: September 25, 2019. Verified against the NPPES registry weekly; last sync: November 08, 2026.

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About Krystle Chua M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KRYSTLE CHUA M.D. (NPI 1366882474) is an individual family medicine provider in Haledon, New Jersey, licensed in New Jersey (25MA09898900) and active in the NPI registry since July 2013. She is enrolled in Medicare PECOS and is a graduate of Other (2010).

NPPES Registry Identity

NPI1366882474

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameKRYSTLE CHUACredential: M.D.

Location Address401 HALEDON AVEHaledon, NJ 07508-1570

Mailing Address401 Haledon AveHaledon, NJ 07508-1570 · (973) 942-3767

Phone(973) 942-3767

Sole ProprietorNo

Medical School CMSOtherGraduated 2010

Enumeration DateJuly 3, 2013

Last NPPES UpdateSeptember 25, 2019

✔ NPI 1366882474 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in NJ · 25MA09898900

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

401 HALEDON AVE, Haledon, NJ 07508

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Krystle Chua M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5698044162

PECOS Enrollment IDI20170627002492

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Krystle Chua reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Akkc Medicine LLC

1.7 mi

Family Medicine

364 LAFAYETTE AVE
Hawthorne, NJ 07506

Reassigned Medicare billing, New Jersey enrollment
2 clinicians in this Medicare group

NPI 1093366684 (973) 595-8800

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490

Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.

105 services20 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

72 services21 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

21 services14 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

13 services13 patients

Administration of influenza virus vaccine G0008

The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.

11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07508 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$98.09 typical visit price

range $63.84 – $190.92

Typical copayment $24.52 (range $15.96 – $47.73)

Most-billed visit code 99203

Established Patient

$111.57 typical visit price

range $20.97 – $155.92

Typical copayment $27.89 (range $5.24 – $38.98)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MEDICAL GROUP OF NORTH JERSEY

Internal Medicine

401 HALEDON AVE
HALEDON, NJ 07508

Passaic County (973) 942-3767

DR. AMR KAHF M.D.

Internal Medicine

401 HALEDON AVE
HALEDON, NJ 07508

Passaic County (973) 942-3767

HALEDON PHYSICAL THERAPY & SPORTS MEDICINE LLC

Physical Therapist

401 HALEDON AVE, SUITE B
HALEDON, NJ 07508

Passaic County (973) 689-6112

HALEDON PHYSICAL THERAPY II LLC.

Clinic/Center (Physical Therapy)

401 HALEDON AVE
HALEDON, NJ 07508

Passaic County (973) 689-6112

HALEDON ADVANCED PHYSICAL THERAPY, LLC

Physical Therapist

401 HALEDON AVE, FIRST FLOOR SUITE D
HALEDON, NJ 07508

Passaic County (201) 447-0346

DR. MUHAMMAD YUSUF KAHF MD

Internal Medicine

401 HALEDON AVE
HALEDON, NJ 07508

Passaic County (973) 942-3767

HALEDON CARDIOLOGY GROUP

Internal Medicine (Cardiovascular Disease)

401 HALEDON AVE
HALEDON, NJ 07508

Passaic County (973) 942-3767

HALEDON ADVANCED CHIROPRACTIC LLC

Chiropractor (Rehabilitation)

401 HALEDON AVE, FIRST FLOOR SUITE D
HALEDON, NJ 07508

Passaic County (201) 447-0346

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Krystle Chua's NPI number?

The NPI number for Krystle Chua is 1366882474. It was assigned to this individual provider in the NPPES registry on July 3, 2013.

Where is Krystle Chua located?

Krystle Chua practices at 401 Haledon Ave, Haledon, NJ 07508. The listed phone number is (973) 942-3767.

What is Krystle Chua's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Krystle Chua enrolled in Medicare?

Yes. Krystle Chua is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Krystle Chua's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Krystle Chua reassigns Medicare benefits to Akkc Medicine LLC (Hawthorne, NJ). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Krystle Chua's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Krystle Chua accept?

Health plans from Ambetter Health and Oscar Health list Krystle Chua as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Krystle Chua was last updated on September 25, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.