Janjsik William J Chung, M.D.

Primary specialty

Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X

License

36541 Issued in MI

Practice address

930 W Avon Rd
#17
Rochester Hills, MI 48307-2759

Phone

(248) 651-5454

Fax

(248) 651-3841

NPI assigned

Dec 19, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Pediatric Associates of Rochester Hills, PC

  • Specialist
  • Rochester Hills, MI
  • NPI 1043561061
  NPD (past)

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1255494100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "930 W AVON RD STE 17",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483072759",
            "telephone_number": "248-651-5454",
            "fax_number": "248-651-3841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "930 W AVON RD",
            "address_2": "#17",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483072759",
            "telephone_number": "248-651-5454",
            "fax_number": "248-651-3841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHUNG",
        "first_name": "JANJSIK WILLIAM",
        "middle_name": "J",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "MI",
            "license": "36541",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roxanne Marie Christensen, PSYD
• Christina Haemmerle PHD PC
• Christine a Newton DDS PC (Elder Dental Care)
• Ya Chu
• Kezziah Chudler, MA, SCL
• Andrew Patrick Ciarlone, D.O.
• City of Rochester Hills
• Abi Clark
• Adalyn L Clark
• Efia Teray Clark, LMT

• Pediatric Adolescent Medicine Physician in Rochester Hills, MI
• Providers in Rochester Hills, MI by specialty
• Pediatric Adolescent Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.

Verify at the official NPI Registry.