Myung Kyu Chung

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

25MA05425800 Issued in NJ

Legal business name

MYUNG KYU CHUNG

Doing business as

Chung Institute of Integrative Medicine

Practice address

110 Marter Ave
Suite 507
Moorestown, NJ 08057-3124

Phone

(856) 222-4766

Fax

(856) 222-1137

NPI assigned

Nov 16, 2006

Last updated

Jan 31, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Myiung Kyu Chung, M.D.

Title

Owner

Phone

(856) 222-4766

Specialties & licenses 2

Addresses

Other names 1

• Chung Institute of Integrative Medicine Doing business as

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Myung K Chung, MD

  • Family Medicine Physician
  • Moorestown, NJ
  • NPI 1609971803
  Medicare reassignment Care Compare group NPD
• Andrew Oswari, M.D.

  • Family Medicine Physician
  • Camden, NJ
  • NPI 1619067071
  Medicare reassignment Care Compare group NPD
• Jong T Shin, DO

  • Sports Medicine (Family Medicine) Physician
  • Cherry Hill, NJ
  • NPI 1992966717
  NPD (past)

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

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1359590400000",
    "number": "1386717585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 MARTER AVE",
            "address_2": "SUITE 507",
            "city": "MOORESTOWN",
            "state": "NJ",
            "postal_code": "080573124",
            "telephone_number": "856-222-4766",
            "fax_number": "856-222-1137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 MARTER AVE",
            "address_2": "SUITE 507",
            "city": "MOORESTOWN",
            "state": "NJ",
            "postal_code": "080573124",
            "telephone_number": "856-222-4766",
            "fax_number": "856-222-1137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MYUNG KYU CHUNG",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-16",
        "last_updated": "2013-01-31",
        "status": "A",
        "authorized_official_last_name": "CHUNG",
        "authorized_official_first_name": "MYIUNG",
        "authorized_official_middle_name": "KYU",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "856-222-4766",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NJ",
            "license": "25MA05425800",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MA05425800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chung Institute of Integrative Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ryan Murphy
• Diane Mussoline
• My Hair Boutique LLC (The Hair Boutique LLC)
• Adelyn Myers, MA, LPC
• Helen Holland Myers, MSW, LCSW
• James G Nachbar, M.D.
• Kuber Nadig, DDS
• Neil Nadpara
• Jahid Najafi, PT, DPT
• Jeffrey E Namey, M.D.

• Family Medicine Physician in Moorestown, NJ
• Providers in Moorestown, NJ by specialty
• Family Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.