Active NPI
John Wonkook Chung, M.D.
- Internal Medicine Physician
- Trenton, NJ
National Provider Identifier
1134224926
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 55467
- Practice address
- 1450 Parkside Avenue
Suite 5
Trenton, NJ 08638-2949 - Phone
- (609) 882-2225
- Fax
- (609) 538-0177
- NPI assigned
- Sep 14, 2006
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 55467 | NJ | Primary |
Addresses
Primary practice location
1450 Parkside Avenue
Suite 5
Trenton, NJ 08638-2949
Mailing address
1450 Parkside Avenue
Suite 5
Trenton, NJ 08638-2949
Phone (609) 882-2225
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| D062412 | Other | NJ | CDS |
| 6036805 | Medicaid | NJ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 55467 | NJ | MD | Internal Medicine Physician |
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": "1678147200000",
"number": "1134224926",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1450 PARKSIDE AVENUE",
"address_2": "SUITE 5",
"city": "TRENTON",
"state": "NJ",
"postal_code": "086382949",
"telephone_number": "609-882-2225",
"fax_number": "609-538-0177"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1450 PARKSIDE AVENUE",
"address_2": "SUITE 5",
"city": "TRENTON",
"state": "NJ",
"postal_code": "086382949",
"telephone_number": "609-882-2225",
"fax_number": "609-538-0177"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHUNG",
"first_name": "JOHN",
"middle_name": "WONKOOK",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-14",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NJ",
"license": "55467",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CDS",
"identifier": "D062412",
"state": "NJ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6036805",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Trenton, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 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.