Chung Primary Care PC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

CHUNG PRIMARY CARE PC

Practice address

1400 Willow Ave FRNT
Elkins Park, PA 19027-3106

Phone

(732) 447-3264

NPI assigned

May 16, 2023

Organization subpart

No

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

Authorized official

Name

Hack R Chung, MD

Title

President

Phone

(732) 447-3264

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1684195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737417600000",
    "number": "1043901606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 WILLOW AVE FRNT",
            "city": "ELKINS PARK",
            "state": "PA",
            "postal_code": "190273106",
            "telephone_number": "732-447-3264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 WILLOW AVE FRNT",
            "city": "ELKINS PARK",
            "state": "PA",
            "postal_code": "190273106",
            "telephone_number": "732-447-3264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHUNG PRIMARY CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-16",
        "last_updated": "2025-01-21",
        "certification_date": "2025-01-21",
        "status": "A",
        "authorized_official_last_name": "CHUNG",
        "authorized_official_first_name": "HACK",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "732-447-3264",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Child and Family Focus, Inc.
• Min-Young Choi, DMD
• Chong Duk Kim Medical Office, PC
• Young Cha Chong, D.M.D.
• Leah Christie, DPT
• Amanda Nicole Ciampi, M.S.,C.C.C.,SLP
• Nancy Clark
• Mia Michele Claxton, LMSW
• Marlene Coachi, RN, MSN, DNP
• Eric R Cohen

• All providers in Elkins Park, PA
• Adult Mental Health Clinic/Center in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2025; 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.