Tae C Chung, M.D.

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

141054 Issued in NY

Practice address

400 E Main St
Anes Assoc of Mt Kisco
Mount Kisco, NY 10549-3417

Phone

(914) 666-4050

Fax

(914) 666-5012

NPI assigned

Jul 11, 2006

Last updated

Nov 15, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• Anesthesia Associates of Mount Kisco

  • Anesthesiology Physician
  • Mount Kisco, NY
  • NPI 1124073952
  NPD (past)

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1195084800000",
    "number": "1386679108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 27391",
            "address_2": "ANES ASSOC OF MOUNT KISCO",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100877391",
            "telephone_number": "800-720-1664",
            "fax_number": "207-753-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 E MAIN ST",
            "address_2": "ANES ASSOC OF MT KISCO",
            "city": "MOUNT KISCO",
            "state": "NY",
            "postal_code": "105493417",
            "telephone_number": "914-666-4050",
            "fax_number": "914-666-5012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHUNG",
        "first_name": "TAE",
        "middle_name": "C",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-11",
        "last_updated": "2007-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NY",
            "license": "141054",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00565628",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "050019188",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Erica Choset, PA
• Chrislex Staffing LTD (J&K Healthcare Services)
• Carol Christian, MSW, LCSW
• Kelly Ann Christman, RPAC
• Kimberly Erin Chu, MD
• Ann Ciafone, RN
• Dana Michelle Ciallela-Kahn, RN
• Halley Cianfarini, LMSW
• Ann Marie Ciarcia, CASAC
• City Spec, Inc.

• Anesthesiology Physician in Mount Kisco, NY
• Providers in Mount Kisco, NY by specialty
• Anesthesiology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 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.