Individual provider Active NPI

Susan Chung, MPH, FNP-BC

  • Family Nurse Practitioner
  • New York, NY
National Provider Identifier
1144742552
Registry record updated Jan 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
342648 Issued in NY
Practice address
240 E 59TH St FL 2
New York, NY 10022-1475
Phone
(212) 746-1500
NPI assigned
Jul 7, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 722118-1 NY
Family Nurse Practitioner 363LF0000X 342648 NY Primary

Addresses

Primary practice location

240 E 59TH St FL 2
New York, NY 10022-1475

Mailing address

240 E 59TH St FL 2
New York, NY 10022-1475

Other practice location 1

205 W. 103rd St
Apt 4A
New York, NY 10025
Phone (267) 210-9108

Other practice location 2

630 W 168th St
New York, NY 10032-3725
Phone (267) 210-9108

Other practice location 3

279 E 3rd St
New York, NY 10009-7813
Phone (212) 477-8500

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180427000657 NY Practitioner - Nurse Practitioner 6103180104 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Weill Medical College of CornellGroup PAC ID 6800709023, 2,023 clinicians

Practice addresses (Care Compare)

525 E 68TH St RM
F20 Endocrinology Group
New York, NY 10065-4870
Phone (212) 746-6290

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as apm
Quality
85.32
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
722118-1NYMDRegistered Nurse
342648NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Weill Medical College of Cornell CurrentSince Dec 11, 2021 Accepting new patients
Weill Medical College of Cornell CurrentSince Dec 11, 2021 Accepting new patients
Maimonides Medical Center Current Accepting new patients
Weill Cornell University Medical College Past Accepting new patients

Locations

1305 York Ave
New York, NY 10021
Phone (646) 962-2020

525 E 68th St
New York, NY 10065
Phone (212) 746-2846

525 E 68th St
Rm F20
New York, NY 10065
Phone (212) 746-6290

240 E 59th St
Fl 2
New York, NY 10022
Phone (212) 421-0473

Networks

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

Interoperability endpoints

  • Direct secure messaging: ssc7012@direct.nyp.org
  • Direct secure messaging: susanchung@mai.allscriptsdirect.net

Organizations & group practices 4

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": "1499385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580256000000",
    "number": "1144742552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 E 59TH ST FL 2",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100221475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 E 59TH ST FL 2",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100221475",
            "telephone_number": "212-746-1500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "205 W. 103rd St",
            "address_2": "Apt 4A",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "10025",
            "country_code": "US",
            "telephone_number": "267-210-9108",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "630 W 168th St",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100323725",
            "country_code": "US",
            "telephone_number": "267-210-9108",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "279 E 3rd St",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100097813",
            "country_code": "US",
            "telephone_number": "212-477-8500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHUNG",
        "first_name": "SUSAN",
        "credential": "MPH, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-07",
        "last_updated": "2020-01-29",
        "certification_date": "2020-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "722118-1",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "342648",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.