Individual provider Active NPI

Crystal Cheong

  • Sleep Medicine (Otolaryngology) Physician
  • Philadelphia, PA
National Provider Identifier
1467024661
Registry record updated Dec 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Medicine (Otolaryngology) PhysicianTaxonomy code 207YS0012X
License
MT224339 Issued in PA
Practice address
3624 Market St Ste 205
Philadelphia, PA 19104-2616
Phone
(484) 743-4298
NPI assigned
Jul 15, 2021
Last updated
Dec 7, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sleep Medicine (Otolaryngology) Physician 207YS0012X MT224339 PA Primary

Addresses

Primary practice location

3624 Market St Ste 205
Philadelphia, PA 19104-2616

Mailing address

3624 Market St Ste 205
Philadelphia, PA 19104-2616

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL x

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
MT224339PAMDSleep Medicine (Otolaryngology) Physician

NPI Registry JSON

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

{
    "created_epoch": "1626307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638835200000",
    "number": "1467024661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3624 MARKET ST STE 205",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191042616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3624 MARKET ST STE 205",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191042616",
            "telephone_number": "484-743-4298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHEONG",
        "first_name": "CRYSTAL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-15",
        "last_updated": "2021-12-07",
        "certification_date": "2021-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207YS0012X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Sleep Medicine",
            "state": "PA",
            "license": "MT224339",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "x",
            "affiliation": "N",
            "endpointDescription": "x",
            "address_1": "3624 Market St Ste 205",
            "city": "Philadelphia",
            "state": "PA",
            "country_code": "US",
            "postal_code": "191042616",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2021; 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.