Individual provider Active NPI

Sung Hyun Chung, DPT

  • Physical Therapist
  • New York, NY
National Provider Identifier
1073890026
Registry record updated Sep 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
033991-1 Issued in NY
Practice address
290 Madison Ave FL 6
New York, NY 10017-6306
Phone
(516) 987-1700
NPI assigned
Nov 4, 2011
Last updated
Sep 29, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 29, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 033991-1 NY Primary
Orthopedic Physical Therapist 2251X0800X 033991-1 NY

Addresses

Primary practice location

290 Madison Ave FL 6
New York, NY 10017-6306

Mailing address

290 Madison Ave FL 6
New York, NY 10017-6306
Phone (516) 987-1700

Other practice location 1

4210 164th St Fl 1
Flushing, NY 11358-2620
Phone (718) 701-5500

Other practice location 2

150 Broadhollow Rd Ste 316
Melville, NY 11747-4901
Phone (516) 987-1700

Other names 1

  • Dr. Sung Chung Other name

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

LicenseStateTypeSpecialty
033991-1NYMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Nyc Integrative Acupuncture P.C. PastSince Nov 6, 2022 Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1320364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569715200000",
    "number": "1073890026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "290 MADISON AVE FL 6",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100176306",
            "telephone_number": "516-987-1700",
            "fax_number": "212-725-0577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "290 MADISON AVE FL 6",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100176306",
            "telephone_number": "516-987-1700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4210 164th St Fl 1",
            "address_purpose": "LOCATION",
            "city": "Flushing",
            "state": "NY",
            "postal_code": "113582620",
            "country_code": "US",
            "telephone_number": "718-701-5500",
            "fax_number": "718-888-1524",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "150 Broadhollow Rd Ste 316",
            "address_purpose": "LOCATION",
            "city": "Melville",
            "state": "NY",
            "postal_code": "117474901",
            "country_code": "US",
            "telephone_number": "516-987-1700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHUNG",
        "first_name": "SUNG",
        "middle_name": "HYUN",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-11-04",
        "last_updated": "2019-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "033991-1",
            "primary": true
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "NY",
            "license": "033991-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUNG",
            "last_name": "CHUNG",
            "prefix": "DR.",
            "credential": "DPT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Sep 29, 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.

Verify at the official NPI Registry.