Active NPI
Jessica Chung, FNP
- Family Nurse Practitioner
- Yonkers, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 33 339143
- Practice address
- 73 Market St
Yonkers, NY 10710-7616 - Phone
- (914) 831-4160
- Fax
- (914) 831-4161
- NPI assigned
- Jan 31, 2015
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 33 339143 | NY | Primary |
Addresses
Primary practice location
73 Market St
Yonkers, NY 10710-7616
Mailing address
2700 Westchester Ave
Purchase, NY 10577-2547
Phone (914) 607-5730
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 05285098 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4426 18TH Ave
Brooklyn, NY 11204-1201
Phone (718) 635-9700
6122 Fresh Pond Rd
Middle Village, NY 11379-1040
Phone (718) 502-3000
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 339143 | NY | MD | Family Medicine Physician |
| 33 339143 | NY | MD | Family Nurse Practitioner |
Practice roles (6 of 9)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| William F Ryan Community Health Center Inc | Current | Accepting new patients | |
| William F Ryan Community Health Center Inc | Current | Accepting new patients | |
| William F Ryan Community Health Center Inc | Current | Accepting new patients | |
| Josef Schenker MD PC | Current | Accepting new patients | |
| Medical Group of New York, P.C. | Family | Current | Accepting new patients |
| Morris Heights Health Center, Inc. | Past | Accepting new patients |
Locations
107 S Country Rd
Bellport, NY 11713
Phone (631) 286-2222
4426 18th Ave
Brooklyn, NY 11204
Phone (718) 635-9700
6122 Fresh Pond Rd
Middle Vlg, NY 11379
Phone (718) 502-3000
110 W 97th St
New York, NY 10025
Phone (212) 316-7906
Networks
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
Interoperability endpoints
- jchung1343694@nychhc.direct-ci.com
- jessica.chung.1@24989.direct.athenahealth.com
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Internal Medicine Physician
- Middle Village, NY
- NPI 1275936932
-
- Family Nurse Practitioner
- Eastchester, NY
- NPI 1487983516
-
- Federally Qualified Health Center (FQHC)
- New York, NY
- NPI 1851328199
-
- Federally Qualified Health Center (FQHC)
- New York, NY
- NPI 1043079064
-
- Federally Qualified Health Center (FQHC)
- New York, NY
- NPI 1730317769
-
- Federally Qualified Health Center (FQHC)
- Bronx, NY
- NPI 1184694291
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1422662400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1544745600000",
"number": "1326438136",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2700 WESTCHESTER AVE",
"city": "PURCHASE",
"state": "NY",
"postal_code": "105772547",
"telephone_number": "914-607-5730",
"fax_number": "914-457-1195"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "73 MARKET ST",
"city": "YONKERS",
"state": "NY",
"postal_code": "107107616",
"telephone_number": "914-831-4160",
"fax_number": "914-831-4161"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHUNG",
"first_name": "JESSICA",
"name_prefix": "Ms.",
"credential": "FNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-01-31",
"last_updated": "2018-12-14",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NY",
"license": "33 339143",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "05285098",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Yonkers, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.