Individual provider Active NPI

Steven Bunlin Tung, M.D.

  • Internal Medicine Physician
  • Glendale, NY
National Provider Identifier
1376549121
Registry record updated Jul 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
107343 Issued in NY
Practice address
8723 Myrtle Ave
Glendale, NY 11385-7847
Phone
(718) 847-6066
Fax
(718) 846-4552
NPI assigned
Jun 27, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 3, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 107343 NY Primary

Addresses

Primary practice location

8723 Myrtle Ave
Glendale, NY 11385-7847

Mailing address

8723 Myrtle Ave
Glendale, NY 11385-7847
Phone (718) 847-6066

Other identifiers 4

IdentifierTypeStateIssuer
00189097MedicaidNY
474312OtherNYBLUE CROSS BLUE SHIELD
107343OtherNYHIP
36952OtherNYGHI

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100423000843 NY Practitioner - Internal MedicinePractitioner - Hematology/Oncology 6103953070 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Hematology/Oncology
Education
Other, 1963
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

8723 Myrtle Ave
Glendale, NY 11385-7847
Phone (718) 847-6066

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
107343NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wyckoff Heights Medical Center Current Accepting new patients
Steven B. Tung, M.D.P.C. Internal Medicine CurrentSince Feb 2, 1982 Accepting new patients
Prohealth Care Associates, LLP PastSince Mar 27, 1996 Accepting new patients

Locations

8723 Myrtle Ave
Glendale, NY 11385
Phone (718) 441-5581

Interoperability endpoints

  • Direct secure messaging: steventung@whmc.allscriptsdirect.net

Organizations & group practices 3

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1119830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1278115200000",
    "number": "1376549121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8723 MYRTLE AVE",
            "city": "GLENDALE",
            "state": "NY",
            "postal_code": "113857847",
            "telephone_number": "718-847-6066",
            "fax_number": "718-846-4552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8723 MYRTLE AVE",
            "city": "GLENDALE",
            "state": "NY",
            "postal_code": "113857847",
            "telephone_number": "718-847-6066",
            "fax_number": "718-846-4552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUNG",
        "first_name": "STEVEN",
        "middle_name": "BUNLIN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-27",
        "last_updated": "2010-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "107343",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00189097",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "474312",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIP",
            "identifier": "107343",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "36952",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, NY

Sources for this page

Verify at the official NPI Registry.