Individual provider Active NPI

William Chung, FNP

  • Family Nurse Practitioner
  • Brooklyn, NY
National Provider Identifier
1043809031
Registry record updated Oct 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
347720 Issued in NY
Practice address
6516A Bay Pkwy
Brooklyn, NY 11204-3931
Phone
(347) 783-0078
Fax
(347) 783-0718
NPI assigned
Jan 13, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 17, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN289883 GA
Family Nurse Practitioner 363LF0000X 347720 NY Primary

Addresses

Primary practice location

6516A Bay Pkwy
Brooklyn, NY 11204-3931

Mailing address

6516A Bay Pkwy
Brooklyn, NY 11204-3931

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, NY2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20210319001050 GA Practitioner - Nurse Practitioner 7810304706 Reassigns benefits to 1 organization
I20210825002835 NY Practitioner - Nurse Practitioner 7810304706 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Emory University School of Medicine, 2020
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

6516 A Bay Pkwy
Brooklyn, NY 11204-3931
Phone (917) 294-6240

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Tilis Health Inc CurrentSince Oct 16, 2022 Accepting new patients
Peachtree Immediate Care FP, LLC CurrentSince Mar 1, 2021 Accepting new patients
Chung NP in Family Health PC CurrentSince Apr 12, 2025 Accepting new patients

Locations

3540 Cobb Pkwy NW
Acworth, GA 30101
Phone (770) 974-3911

590 Lanier Ave W
Fayetteville, GA 30214

3827 Jimmy Lee Smith Pkwy
Hiram, GA 30141
Phone (770) 222-8900

6516 Bay Pkwy
#A
Brooklyn, NY 11204
Phone (347) 783-0078

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722

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": "1610496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760659200000",
    "number": "1043809031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6516A BAY PKWY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112043931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6516A BAY PKWY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112043931",
            "telephone_number": "347-783-0078",
            "fax_number": "347-783-0718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHUNG",
        "first_name": "WILLIAM",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-01-13",
        "last_updated": "2025-10-17",
        "certification_date": "2025-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN289883",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "347720",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.