Individual provider Active NPI

Karen Chung, FNP-BC

  • Family Nurse Practitioner
  • New York, NY
National Provider Identifier
1083167902
Registry record updated Feb 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
NY341167 Issued in NY
Practice address
298 Mulberry St
New York, NY 10012-3331
Phone
(866) 389-2727
NPI assigned
Jul 27, 2016
Last updated
Feb 13, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 341167 NY
Family Nurse Practitioner 363LF0000X 26NR14493400 NJ
Family Nurse Practitioner 363LF0000X 26NJ00778800 NJ
Family Nurse Practitioner 363LF0000X NY341167 NY Primary

Addresses

Primary practice location

298 Mulberry St
New York, NY 10012-3331

Mailing address

298 Mulberry St
New York, NY 10012-3331
Phone (866) 389-2727

Other practice location 1

59 Washington St
Hoboken, NJ 07030-4555
Phone (866) 389-2727

Other identifiers 1

IdentifierTypeStateIssuer
00695941MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 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
I20161117000787 NY Practitioner - Nurse Practitioner 3173802089 Reassigns benefits to 1 organization
I20190611001862 NJ Practitioner - Nurse Practitioner 3173802089 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medical Group of New York PCGroup PAC ID 2567642044, 61 clinicians

Practice addresses (Care Compare)

241 W 57TH St
New York, NY 10019-2121
Phone (866) 389-2727

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
26NR14493400NJMDFamily Nurse Practitioner
NY341167NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Minuteclinic Diagnostic of New Jersey LLC Family CurrentSince May 10, 2019 Accepting new patients
Medical Group of New York, P.C. Family CurrentSince Jan 19, 2018 Accepting new patients

Locations

471 Main St
Chatham, NJ 07928
Phone (973) 635-4636

59 Washington St
Hoboken, NJ 07030
Phone (201) 792-7929

4 Ryan Rd
Marlboro, NJ 07746
Phone (732) 431-8700

107 S Country Rd
Bellport, NY 11713
Phone (631) 286-2222

7960 Metropolitan Ave
Middle Village, NY 11379
Phone (718) 326-4910

1619 Broadway
New York, NY 10019
Phone (646) 416-5752

241 W 57th St
New York, NY 10019
Phone (212) 247-5848

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: karen.chung@chn.eclinicaldirectplus.com

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": "1469577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707782400000",
    "number": "1083167902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "298 MULBERRY ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100123331",
            "telephone_number": "866-389-2727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "298 MULBERRY ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100123331",
            "telephone_number": "866-389-2727"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "59 Washington St",
            "address_purpose": "LOCATION",
            "city": "Hoboken",
            "state": "NJ",
            "postal_code": "070304555",
            "country_code": "US",
            "telephone_number": "866-389-2727",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHUNG",
        "first_name": "KAREN",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-27",
        "last_updated": "2024-02-13",
        "certification_date": "2024-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "341167",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NR14493400",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ00778800",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "NY341167",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00695941",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.