Kenneth Chungag, NP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

0024193200 Issued in VA

Practice address

1023 Antonio Dr
Reading, PA 19605-2770

Phone

(248) 875-6924

NPI assigned

Apr 10, 2025

Sex

Male

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

• Mr. Kenneth Z Chungag Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1744243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744243200000",
    "number": "1245025451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8235 FRESNO LN APT 101",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223093635",
            "telephone_number": "571-231-4364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1023 ANTONIO DR",
            "city": "READING",
            "state": "PA",
            "postal_code": "196052770",
            "telephone_number": "248-875-6924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHUNGAG",
        "first_name": "KENNETH",
        "name_prefix": "Mr.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-04-10",
        "last_updated": "2025-04-10",
        "certification_date": "2025-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "VA",
            "license": "0024193200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KENNETH",
            "last_name": "CHUNGAG",
            "middle_name": "Z",
            "prefix": "MR.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Chor Youth and Family Services
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• Peter Christ, MD
• Leif Eric Christiansen, D.O.
• Raymond Kit Chu, RPH
• Jennifer Nicole Chupak
• Earnest Clayton Church, RN, CDE
• Karey A Ciano, HIS
• Susan Zebraski Cicchetti
• Ashley Dautrich Cieniewicz, MSOTR/L

• Psychiatric/Mental Health Nurse Practitioner in Reading, PA
• Providers in Reading, PA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2025; 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.