Active NPI
Jamie W Chung, NP
- Adult Health Nurse Practitioner
- Newton, MA
National Provider Identifier
1255572491
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 257378
- Practice address
- 2014 Washington St
NWH - Spine Center
Newton, MA 02462-1607 - Phone
- (617) 243-5777
- Fax
- (617) 243-6110
- NPI assigned
- Mar 18, 2009
- Last updated
- Mar 18, 2009
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 257378 | MA | Primary |
Addresses
Primary practice location
2014 Washington St
NWH - Spine Center
Newton, MA 02462-1607
Mailing address
2014 Washington St.
NWH -Spine Center
Newton, MA 02462
Phone (617) 243-5777
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
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 302943 | NY | MD | Vascular & Interventional Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Spinecare Orthopedics, PC | Past | Accepting new patients | |
| Newton-Wellesley Hospital | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- General Acute Care Hospital
- Newton, MA
- NPI 1992737761
-
- Orthopaedic Surgery of the Spine Physician
- New York, NY
- NPI 1265532071
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1237334400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1237334400000",
"number": "1255572491",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2014 WASHINGTON ST.",
"address_2": "NWH -SPINE CENTER",
"city": "NEWTON",
"state": "MA",
"postal_code": "02462",
"telephone_number": "617-243-5777"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2014 WASHINGTON ST",
"address_2": "NWH - SPINE CENTER",
"city": "NEWTON",
"state": "MA",
"postal_code": "024621607",
"telephone_number": "617-243-5777",
"fax_number": "617-243-6110"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHUNG",
"first_name": "JAMIE",
"middle_name": "W",
"name_prefix": "Ms.",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-03-18",
"last_updated": "2009-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "MA",
"license": "257378",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Newton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.