Jeffrey Y H Chung LLC

Primary specialty

Non-Pharmacy Dispensing SiteTaxonomy code 332900000X

License

D67554 Issued in MD

Legal business name

JEFFREY Y H CHUNG LLC

Practice address

14201 Laurel Park Dr Ste 104
Laurel, MD 20707-5203

Phone

(727) 755-0693

NPI assigned

Mar 29, 2016

Last updated

Mar 29, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ariana Bedoya

Title

Credentialing Manager

Phone

(727) 755-0693

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Jeffrey Yh Chung LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Jeffrey Y.H. Chung, L.L.C.

  • Ophthalmology Physician
  • Laurel, MD
  • NPI 1780812941
  NPD tax ID
• Jeffrey Y.H. Chung, L.L.C.

  • Ophthalmology Physician
  • Gaithersburg, MD
  • NPI 1821887431
  NPD tax ID

Locations

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

{
    "created_epoch": "1459209600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459209600000",
    "number": "1093178923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 PARK PLACE BLVD FL 5",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337594904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14201 LAUREL PARK DR STE 104",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207075203",
            "telephone_number": "727-755-0693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFREY Y H CHUNG LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-29",
        "last_updated": "2016-03-29",
        "status": "A",
        "authorized_official_last_name": "BEDOYA",
        "authorized_official_first_name": "ARIANA",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "727-755-0693"
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": "MD",
            "license": "D67554",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "418338000",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maya Jean-Baptiste, LCPC
• Elisabeth Jean-Jacques, PSY.D.
• Arthur C Jee, D.M.D.
• Kyle Seamus Jeffers
• Tenesha Renae Jeffery, LCPC
• Jeffrey Y.H. Chung, L.L.C.
• Jem Counseling Services
• Jemima a. Kankam, M.D. P.a.
• Jemima a. Kankam, M.D. P.a.
• Jemisun Healthcare Services Inc

• Non-Pharmacy Dispensing Site in Laurel, MD
• Providers in Laurel, MD by specialty
• Non-Pharmacy Dispensing Site in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2016; 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.