Individual provider Active NPI

Bruce K. Chung, M.D.

  • Family Medicine Physician
  • New York, NY
National Provider Identifier
1124123823
Registry record updated Jun 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
191842 Issued in NY
Practice address
461 Park Ave S FL 9
New York, NY 10016-7570
Phone
(212) 545-1888
Fax
(212) 545-1919
NPI assigned
Sep 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 191842 NY Primary

Addresses

Primary practice location

461 Park Ave S FL 9
New York, NY 10016-7570

Mailing address

461 Park Ave S FL 9
New York, NY 10016-7570
Phone (212) 545-1888

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040616000043 NY Practitioner - Family Practice 0648253716 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Wayne State University School of Medicine, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
City Care Family Practice PCGroup PAC ID 7113900275, 5 clinicians

Practice addresses (Care Compare)

461 Park Ave S
New York, NY 10016-7570
Phone (212) 545-1888

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
City Care Family Practice, P.C. Family Medicine CurrentSince Jun 25, 2003 Accepting new patients

Locations

160 E 32nd St
Ste 102
New York, NY 10016
Phone (212) 545-1800

461 Park Ave S
Fl 9
New York, NY 10016
Phone (212) 545-1888

Networks

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

Interoperability endpoints

  • Direct secure messaging: bruce.chung@ccfpp.eclinicaldirectplus.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/IGDFAA

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591833600000",
    "number": "1124123823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "461 PARK AVE S FL 9",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100167570",
            "telephone_number": "212-545-1888",
            "fax_number": "212-545-1919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "461 PARK AVE S FL 9",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100167570",
            "telephone_number": "212-545-1888",
            "fax_number": "212-545-1919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHUNG",
        "first_name": "BRUCE",
        "middle_name": "K.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-14",
        "last_updated": "2020-06-11",
        "certification_date": "2020-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "191842",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.