Ellen Aeryung Chung, M.S., LAC.

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

007266 Issued in NY

Practice address

110 William Street
New York, NY 10038

Phone

(917) 634-7882

NPI assigned

May 26, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Ms. Aeryung Ellen Chung Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1685059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685059200000",
    "number": "1114610169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 WEST 18TH STREET",
            "address_2": "4A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10011",
            "telephone_number": "917-634-7882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 WILLIAM STREET",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10038",
            "telephone_number": "917-634-7882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHUNG",
        "first_name": "ELLEN",
        "middle_name": "AERYUNG",
        "name_prefix": "Ms.",
        "credential": "M.S., LAC.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-26",
        "last_updated": "2023-05-26",
        "certification_date": "2023-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "007266",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AERYUNG",
            "last_name": "CHUNG",
            "middle_name": "ELLEN",
            "prefix": "MS.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Dahye Chung, PHARM.D
• Daniel Chung
• Darik Chung, D.D.S.
• David Chung, M.D.
• David Hun Chung, MD
• Frank R. Chung, MD
• Gi-Song Chung
• Graham Chung, OD
• Ha-Eun Chung, OD
• Hannah Haeun Chung, L.AC, LMT

• Acupuncturist in New York, NY
• Providers in New York, NY by specialty
• Acupuncturist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2023; 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.