Active NPI
Tun Lin Aung
- Adult Health Nurse Practitioner
- Danvers, MA
National Provider Identifier
1083367775
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 2284550
- Practice address
- 75 Sylvan St
Danvers, MA 01923-2763 - Phone
- (978) 774-7566
- NPI assigned
- Feb 2, 2022
- Last updated
- Feb 2, 2022
- 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 |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 2284550 | MA | Primary |
Addresses
Primary practice location
75 Sylvan St
Danvers, MA 01923-2763
Mailing address
75 Sylvan St
Danvers, MA 01923-2763
Phone (978) 774-7566
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2284550 | MA | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Care Dimensions, Inc. | Single Specialty | Current | Accepting new patients |
| Care Dimensions, Inc. | Single Specialty | Current | Accepting new patients |
Locations
75 Sylvan St
Ste B102
Danvers, MA 01923
Phone (888) 283-1722
78 Liberty St
Danvers, MA 01923
Phone (978) 223-9760
Interoperability endpoints
- https://app.meldrx.com/api/fhir/caredimensions
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": "1643760000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1643760000000",
"number": "1083367775",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "75 SYLVAN ST",
"city": "DANVERS",
"state": "MA",
"postal_code": "019232763",
"telephone_number": "978-774-7566"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "75 SYLVAN ST",
"city": "DANVERS",
"state": "MA",
"postal_code": "019232763",
"telephone_number": "978-774-7566"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AUNG",
"first_name": "TUN",
"middle_name": "LIN",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-02-02",
"last_updated": "2022-02-02",
"certification_date": "2021-11-23",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Adult Health",
"state": "MA",
"license": "2284550",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Danvers, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.