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DR. HAROLD EDWARD CHUNG-LOY M.D.
NPI 1811002728
Surgery in Edison, NJ

Active since August 20, 2006PECOS EnrolledAccepts Medicare Assignment
94.95/100
CMS Quality Rating
98 JAMES ST, # 202, EDISON, NJ 08820(732) 548-1000(732) 547-7590 Get Directions Write a Review

NPPES record last updated: January 27, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Harold Edward Chung-loy M.d. NPPES

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

DR. HAROLD EDWARD CHUNG-LOY M.D. (NPI 1811002728) is an individual surgery provider in Edison, New Jersey, licensed in New Jersey (25MA04775400) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Jfk Medical Center, and is a graduate of Howard University College Of Medicine (1980).

NPPES Registry Identity

NPI1811002728
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameDR. HAROLD EDWARD CHUNG-LOYCredential: M.D.
Location Address98 JAMES ST, # 202Edison, NJ 08820-3902
Mailing Address98 James St, # 202Edison, NJ 08820-3902 · (732) 548-1000 · Fax (732) 547-7590
Phone(732) 548-1000
Fax(732) 547-7590
Sole ProprietorYes
Medical School CMSHoward University College Of MedicineGraduated 1980
Enumeration DateAugust 20, 2006
Last NPPES UpdateJanuary 27, 2014
✔ NPI 1811002728 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in NJ · 25MA04775400
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
98 JAMES ST, Edison, NJ 08820
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Other Identifiers 3

Medicare UPINC61032NJ
Medicaid3348903NJ
Medicare ID-Type Unspecified431258

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Harold Edward Chung-loy M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1052541927
PECOS Enrollment IDI20140221000211
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.

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
36 services11 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
35 services35 patients
Repair of groin hernia using an endoscope 49650
This procedure involves the use of an endoscope, a thin tube with a camera, to repair a hernia in the groin area. The surgeon makes small incisions, inserts the endoscope, and uses special tools to fix the hernia. This minimally invasive technique often results in quicker recovery times.
12 services11 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.
12 services12 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
12 services12 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Jfk Medical Center

Acute Care Hospitals · Edison, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310108
Location65 James StreetEdison, NJ 08820 · Middlesex County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08820 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
$79.09 typical visit price
range $20.97 – $155.92
Typical copayment $19.77 (range $5.24 – $38.98)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

94.95/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality87.26
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 20

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

DR. HOWARD S. COHEN M.D.
Internal Medicine (Cardiovascular Disease)
98 JAMES ST, SUITE 313
EDISON, NJ 08820
Middlesex County (732) 635-0916
RUDNITZKY & SHUGAR MDS PA
Internal Medicine
98 JAMES ST, SUITE 104
EDISON, NJ 08820
Middlesex County (732) 494-6300
DR. NICHOLAS A. PARTENOPE M.D.
Preventive Medicine (Public Health & General Preventive Medicine)
98 JAMES ST, SUITE 308, MEDIPLEX BUILDING
EDISON, NJ 08820
Middlesex County (732) 388-9709
CENTRAL JERSEY OPHTHALMOLOGY,PA
Ophthalmology
98 JAMES ST, SUITE 210
EDISON, NJ 08820
Middlesex County (732) 744-1800
MS. DIPALI SHAH PA
Physician Assistant
98 JAMES ST
EDISON, NJ 08820
Middlesex County (732) 243-9694
MOSS SURGICAL, L.L.C.
Surgery
98 JAMES ST, SUITE 202
EDISON, NJ 08820
Middlesex County (732) 548-1000
SURGICAL PRACTICES ASSOCIATES, P.A.
Surgery
98 JAMES ST, SUITE 202
EDISON, NJ 08820
Middlesex County (732) 548-1000
DR. ADAM J DUHL MD
Obstetrics & Gynecology (Maternal & Fetal Medicine)
98 JAMES ST, 4TH FL
EDISON, NJ 08820
Middlesex County (732) 321-7907

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 Harold Chung-loy's NPI number?

The NPI number for Harold Chung-loy is 1811002728. It was assigned to this individual provider in the NPPES registry on August 20, 2006.

Where is Harold Chung-loy located?

Harold Chung-loy practices at 98 James St # 202, Edison, NJ 08820. The listed phone number is (732) 548-1000.

What is Harold Chung-loy's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Harold Chung-loy enrolled in Medicare?

Yes. Harold Chung-loy is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Harold Chung-loy affiliated with any hospitals?

According to CMS data, Harold Chung-loy is affiliated with Jfk Medical Center.

When was this NPI record last updated?

The NPPES record for Harold Chung-loy was last updated on January 27, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.