Active NPI
Jonathan Chung, OTR/L
- Occupational Therapist
- Levittown, NY
National Provider Identifier
1043878382
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 015926
- Practice address
- 102 Elm Dr N
Levittown, NY 11756-5500 - Phone
- (646) 318-7961
- NPI assigned
- Jun 2, 2019
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 015926 | NY | Primary |
Addresses
Primary practice location
102 Elm Dr N
Levittown, NY 11756-5500
Mailing address
102 Elm Dr N
Levittown, NY 11756-5500
Phone (646) 318-7961
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 015926 | NY | MD | Medical Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1559433600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1559433600000",
"number": "1043878382",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "102 ELM DR N",
"city": "LEVITTOWN",
"state": "NY",
"postal_code": "117565500",
"telephone_number": "646-318-7961"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "102 ELM DR N",
"city": "LEVITTOWN",
"state": "NY",
"postal_code": "117565500",
"telephone_number": "646-318-7961"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHUNG",
"first_name": "JONATHAN",
"credential": "OTR/L",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-06-02",
"last_updated": "2019-06-02",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NY",
"license": "015926",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Levittown, NY
- Karen Chin, PH.D.
- Christine M. Kent Audiologist PLLC
- Christopher Dagostino Wellness LCSW PLLC
- Margaret Christy, LMFT
- Arlene Chun, SPEC. ED, TEACHER
- Zobeida Azucena Ciaccio, RPH
- Marissa Cifarelli
- Danielle Cimafonte, LMHC
- Circle of Life Counseling Services. LCSW, P.C.
- City Medical of Upper East Side, PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.