Individual provider Active NPI

Christopher Chung, DPM

  • Foot & Ankle Surgery Podiatrist
  • Mineola, NY
National Provider Identifier
1003264763
Registry record updated Sep 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
007007 Issued in NY
Practice address
155 Mineola Blvd
Mineola, NY 11501-3920
Phone
(516) 741-3338
NPI assigned
Jun 2, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 007007 NY Primary

Addresses

Primary practice location

155 Mineola Blvd
Mineola, NY 11501-3920

Mailing address

155 Mineola Blvd
Mineola, NY 11501-3920
Phone (516) 741-3338

Other practice location 1

7001 Grand Ave
Maspeth, NY 11378-1820
Phone (718) 747-9250

Other practice location 2

479 Willis Ave
Williston Park, NY 11596-1725
Phone (516) 294-8877

Other practice location 3

2110 Northern Blvd Ste 208
Manhasset, NY 11030-3500
Phone (516) 869-3300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200226001419 NY Practitioner - Podiatry 1254768534 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Country Foot Care Podiatry PLLCGroup PAC ID 1254634223, 6 clinicians
Advanced Podiatry of Manhasset, PLLCGroup PAC ID 6406917343, 17 clinicians

Practice addresses (Care Compare)

155 Mineola Blvd
Suite B
Mineola, NY 11501-3992
Phone (516) 741-3338

2110 Northern Blvd
Suite 208
Manhasset, NY 11030-3500
Phone (516) 869-3300

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue82
Removal of skin lesions1-10
Removal of nail tissue1546
Removal or shaving of skin growth1554

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
007007NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Podiatry of Manhasset, PLLC Foot & Ankle Surgery CurrentSince Jun 16, 2022 Accepting new patients
Country Foot Care Podiatry PLLC Foot & Ankle Surgery CurrentSince Mar 15, 2022 Accepting new patients
Country Foot Care Podiatry PLLC Foot & Ankle Surgery CurrentSince Mar 15, 2022 Accepting new patients

Locations

181 Main St
Ste 207
Huntington, NY 11743
Phone (516) 869-3300

2110 Northern Blvd
Ste 208
Manhasset, NY 11030
Phone (516) 627-5113

7001 Grand Ave
Maspeth, NY 11378
Phone (718) 639-0499

155 Mineola Blvd
Ste B
Mineola, NY 11501
Phone (516) 741-3338

201 Portion Rd
Ste C
Ronkonkoma, NY 11779
Phone (631) 467-2813

479 Willis Ave
Williston Pk, NY 11596
Phone (516) 294-8877

20 Crossways Park Dr N
Ste 304
Woodbury, NY 11797
Phone (516) 681-8866

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1464825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663113600000",
    "number": "1003264763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 MINEOLA BLVD",
            "city": "MINEOLA",
            "state": "NY",
            "postal_code": "115013920",
            "telephone_number": "516-741-3338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 MINEOLA BLVD",
            "city": "MINEOLA",
            "state": "NY",
            "postal_code": "115013920",
            "telephone_number": "516-741-3338"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7001 Grand Ave",
            "address_purpose": "LOCATION",
            "city": "Maspeth",
            "state": "NY",
            "postal_code": "113781820",
            "country_code": "US",
            "telephone_number": "718-747-9250",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "479 Willis Ave",
            "address_purpose": "LOCATION",
            "city": "Williston Park",
            "state": "NY",
            "postal_code": "115961725",
            "country_code": "US",
            "telephone_number": "516-294-8877",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2110 Northern Blvd Ste 208",
            "address_purpose": "LOCATION",
            "city": "Manhasset",
            "state": "NY",
            "postal_code": "110303500",
            "country_code": "US",
            "telephone_number": "516-869-3300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHUNG",
        "first_name": "CHRISTOPHER",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-02",
        "last_updated": "2022-09-14",
        "certification_date": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NY",
            "license": "007007",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mineola, NY

Sources for this page

Verify at the official NPI Registry.