Individual provider Active NPI

Hannah Haeun Chung, L.AC, LMT

  • Acupuncturist
  • New York, NY
National Provider Identifier
1003563354
Registry record updated Mar 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
006989 Issued in NY
Practice address
129 E 90TH St Apt 1W
New York, NY 10128-1569
Phone
(646) 609-4250
NPI assigned
Mar 7, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193400000X SINGLE SPECIALTY GROUP 171100000X 006989 NY Primary

Addresses

Primary practice location

129 E 90TH St Apt 1W
New York, NY 10128-1569

Mailing address

129 E 90TH St Apt 1W
New York, NY 10128-1569
Phone (646) 609-4250

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
006989NYMDPediatric Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Elysium Acupuncture PC Acupuncturist PastSince Mar 13, 2022 Accepting new patients

Organizations & group practices 1

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": "1646611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646611200000",
    "number": "1003563354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "129 E 90TH ST APT 1W",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101281569",
            "telephone_number": "646-609-4250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "129 E 90TH ST APT 1W",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101281569",
            "telephone_number": "646-609-4250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHUNG",
        "first_name": "HANNAH",
        "middle_name": "HAEUN",
        "name_prefix": "Ms.",
        "credential": "L.AC, LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-07",
        "last_updated": "2022-03-07",
        "certification_date": "2022-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "006989",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.