Provider Demographics
NPI:1992759138
Name:ONG, ALVIN CHUA (MD)
Entity type:Individual
Prefix:
First Name:ALVIN
Middle Name:CHUA
Last Name:ONG
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:833 CHESTNUT ST STE 520
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19107-4430
Mailing Address - Country:US
Mailing Address - Phone:800-321-1321
Mailing Address - Fax:267-479-1321
Practice Address - Street 1:2500 ENGLISH CREEK AVE
Practice Address - Street 2:BUILDING 1300
Practice Address - City:EGG HARBOR TOWNSHIP
Practice Address - State:NJ
Practice Address - Zip Code:08234-5549
Practice Address - Country:US
Practice Address - Phone:609-677-6060
Practice Address - Fax:609-677-6061
Is Sole Proprietor?:No
Enumeration Date:2006-05-20
Last Update Date:2024-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME152864207X00000X
NY329581207X00000X
PAMD061812L207X00000X
NJ25MA07082000207XS0114X, 207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
No207XS0114XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryAdult Reconstructive Orthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0804810000OtherIBC
4289675OtherCIGNA
H11848Medicare UPIN
4289675OtherCIGNA
PA200037674Medicare PIN
NJ039071PFCMedicare ID - Type Unspecified
PA200037674Medicare PIN