Active NPI
James Stephen Chung
- Contractor
- Wyncote, PA
National Provider Identifier
1265618631
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Contractor
- License
- 40QA01269800
- Practice address
- 8480 Limekiln Pike
Apt 606
Wyncote, PA 19095 - Phone
- (317) 525-9968
- Fax
- (317) 525-9968
- NPI assigned
- Jan 16, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Contractor | 171W00000X | 40QA01269800 | NJ | Primary |
| Physical Therapist | 225100000X | PT020292 | PA |
Addresses
Primary practice location
8480 Limekiln Pike
Apt 606
Wyncote, PA 19095
Mailing address
8480 Limekiln Pike
Apt 606
Wyncote, PA 19095-2801
Phone (317) 525-9968
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 40QA01269800 | NJ | MD | Contractor |
| PT020292 | PA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1200441600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1459987200000",
"number": "1265618631",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8480 LIMEKILN PIKE",
"address_2": "APT 606",
"city": "WYNCOTE",
"state": "PA",
"postal_code": "190952801",
"telephone_number": "317-525-9968",
"fax_number": "317-525-9968"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8480 LIMEKILN PIKE",
"address_2": "APT 606",
"city": "WYNCOTE",
"state": "PA",
"postal_code": "19095",
"telephone_number": "317-525-9968",
"fax_number": "317-525-9968"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHUNG",
"first_name": "JAMES STEPHEN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-01-16",
"last_updated": "2016-04-07",
"status": "A"
},
"taxonomies": [
{
"code": "171W00000X",
"taxonomy_group": "",
"desc": "Contractor",
"state": "NJ",
"license": "40QA01269800",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "PT020292",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wyncote, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.