Active NPI
Kun Young Chung, MD
- Anatomic Pathology & Clinical Pathology Physician
- Mount Vernon, NY
National Provider Identifier
1174598528
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- 122489-1
- Practice address
- 12 N 7TH Ave
Mount Vernon, NY 10550-2026 - Phone
- (914) 664-8000
- Fax
- (914) 664-8015
- NPI assigned
- Feb 21, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 122489-1 | NY | Primary |
Addresses
Primary practice location
12 N 7TH Ave
Mount Vernon, NY 10550-2026
Mailing address
12 N 7TH Ave
Mount Vernon, NY 10550-2026
Phone (914) 664-8000
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 122489 | NY | MD | Social Worker |
| 122489-1 | NY | MD | Anatomic Pathology & Clinical Pathology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140480000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1191888000000",
"number": "1174598528",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12 N 7TH AVE",
"city": "MOUNT VERNON",
"state": "NY",
"postal_code": "105502026",
"telephone_number": "914-664-8000",
"fax_number": "914-664-8015"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12 N 7TH AVE",
"city": "MOUNT VERNON",
"state": "NY",
"postal_code": "105502026",
"telephone_number": "914-664-8000",
"fax_number": "914-664-8015"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHUNG",
"first_name": "KUN",
"middle_name": "YOUNG",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-21",
"last_updated": "2007-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "NY",
"license": "122489-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mount Vernon, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.