Organization Active NPI

CHI-Kwong NG, M.D.P.a.

  • Primary Care Clinic/Center
  • Crystal River, FL
National Provider Identifier
1457652968
Registry record updated Dec 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
ME0068881 Issued in FL
Legal business name
CHI-KWONG NG, M.D.P.A.
Practice address
905 N Citrus Ave
Crystal River, FL 34428-3422
Phone
(352) 563-5767
Fax
(352) 563-5705
NPI assigned
Nov 15, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2010

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

Authorized official

Name
Dr. CHI-Kwong NG
Title
President
Phone
(352) 563-5767

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X ME0068881 FL Primary

Addresses

Primary practice location

905 N Citrus Ave
Crystal River, FL 34428-3422

Mailing address

905 N Citrus Ave
Crystal River, FL 34428-3422
Phone (352) 563-5767

Other identifiers 1

IdentifierTypeStateIssuer
379840200MedicaidFL

National Provider Directory

National Provider Directory

Locations

905 N Citrus Ave
Crystal River, FL 34428
Phone (352) 563-5767

NPI Registry JSON

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

{
    "created_epoch": "1289779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291766400000",
    "number": "1457652968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "905 N CITRUS AVE",
            "city": "CRYSTAL RIVER",
            "state": "FL",
            "postal_code": "344283422",
            "telephone_number": "352-563-5767",
            "fax_number": "352-563-5705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905 N CITRUS AVE",
            "city": "CRYSTAL RIVER",
            "state": "FL",
            "postal_code": "344283422",
            "telephone_number": "352-563-5767",
            "fax_number": "352-563-5705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHI-KWONG NG, M.D.P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-15",
        "last_updated": "2010-12-08",
        "status": "A",
        "authorized_official_last_name": "NG",
        "authorized_official_first_name": "CHI-KWONG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "352-563-5767",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "FL",
            "license": "ME0068881",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "379840200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Crystal River, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2010; 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.