Lap Pang Benny Chung, RPA-C

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

006599 Issued in NY

Practice address

14601 45TH Ave
Suite 206
Flushing, NY 11355-2200

Phone

(718) 670-3135

NPI assigned

Apr 30, 2007

Last updated

Aug 7, 2013By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Mr. Benny Lap Pang Chung Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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

{
    "created_epoch": "1177891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375833600000",
    "number": "1437379518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "167 SANDS ST APT 509",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112017414",
            "telephone_number": "718-625-4928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14601 45TH AVE",
            "address_2": "SUITE 206",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113552200",
            "telephone_number": "718-670-3135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHUNG",
        "first_name": "LAP PANG BENNY",
        "name_prefix": "Mr.",
        "credential": "RPA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-30",
        "last_updated": "2013-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NY",
            "license": "006599",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "NY",
            "license": "006599",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BENNY",
            "last_name": "CHUNG",
            "middle_name": "LAP PANG",
            "prefix": "MR.",
            "credential": "RPA-C",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• David Ingook Chung, M.D.
• Heo C Chung, L.AC
• Jennifer A Chung, LMHC
• Ji-Yeon Chung, D.D.S.
• Julio Jaehun Chung
• Michelle Chung
• Michelle Sookhyun Chung, PA
• Min (Paul) M Chung, D.D.S.
• Sea Hyun Chung, M.D.
• So Hyun Chung, O.D.

• Surgical Physician Assistant in Flushing, NY
• Providers in Flushing, NY by specialty
• Surgical Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2013; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.