Individual provider Active NPI

Hyunwoo Chung, M.D.

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Rego Park, NY
National Provider Identifier
1396805172
Registry record updated May 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
225794 Issued in NY
Practice address
9745 63Rd Dr
FL 1
Rego Park, NY 11374-2229
Phone
(718) 544-1171
NPI assigned
Dec 11, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 6, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X 225794 NY Primary

Addresses

Primary practice location

9745 63Rd Dr
FL 1
Rego Park, NY 11374-2229

Mailing address

511 Homans Ave
Closter, NJ 07624-2906
Phone (646) 321-4788

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
I20040319001095 NY Practitioner - Vascular SurgeryPractitioner - General Surgery 3779473806 Reassigns benefits to 1 organization
Practice locations: Rego Park, NY

Care Compare profile

Medicare Care Compare
Specialty
Vascular SurgeryAlso: General Surgery
Education
At Still University of Health Sciences, College of Osteo Med, Kirksville, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

10818 72ND Ave
Forest Hills, NY 11375-1035
Phone (718) 544-1171

232 Merrick Rd
Lynbrook, NY 11563-2623
Phone (800) 314-6004

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
New York Vein PC Thoracic Surgery (Cardiothoracic Vascular Surgery) CurrentSince Jun 16, 2011 Accepting new patients
American Access Care Physician PLLC PastSince May 10, 2020 Accepting new patients

Locations

10818 72nd Ave
Forest Hills, NY 11375
Phone (212) 254-7588

10818 72nd Ave
Ste 1
Forest Hills, NY 11375
Phone (646) 321-4788

232 Merrick Rd
Lynbrook, NY 11563
Phone (516) 256-7706

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557100800000",
    "number": "1396805172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "511 HOMANS AVE",
            "city": "CLOSTER",
            "state": "NJ",
            "postal_code": "076242906",
            "telephone_number": "646-321-4788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9745 63RD DR",
            "address_2": "FL 1",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113742229",
            "telephone_number": "718-544-1171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHUNG",
        "first_name": "HYUNWOO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-11",
        "last_updated": "2019-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "NY",
            "license": "225794",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rego Park, NY

Sources for this page

Verify at the official NPI Registry.