Jung Wen Chen, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

120972 Issued in NY

Practice address

624 McClellan St
Suite G02
Schenectady, NY 12304-1020

Phone

(518) 382-2203

Fax

(518) 382-2226

NPI assigned

Oct 25, 2006

Last updated

Jan 19, 2015By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Ellis Hospital

  dba Ellis Internal Medicine

  • Primary Care Clinic/Center
  • Schenectady, NY
  • NPI 1023598331
  NPD (past)
• Ellis Hospital

  • Family Medicine Physician
  • Schenectady, NY
  • NPI 1760614317

  Internal Medicine

  NPD (past)

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421625600000",
    "number": "1477637304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 MCCLELLAN ST",
            "address_2": "2 WEST",
            "city": "SCHENECTADY",
            "state": "NY",
            "postal_code": "123041009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "624 MCCLELLAN ST",
            "address_2": "SUITE G02",
            "city": "SCHENECTADY",
            "state": "NY",
            "postal_code": "123041020",
            "telephone_number": "518-382-2203",
            "fax_number": "518-382-2226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHEN",
        "first_name": "JUNG WEN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-25",
        "last_updated": "2015-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "120972",
            "primary": true
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "NY",
            "license": "120972",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00516481",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gilles Chapados, MD
• Charles F. Juracka
• Deborah Marie Chechak, RN
• Meghan Cheek, RD, CDN
• Allen Chen, DMD
• Elaine Hee-Young Cheon-Lee, MD
• Hee-Joo Cheon-Schingo, MD
• Sasi K Cheruvu, M.D.
• Betina Chery
• Wayne C Cheslick, RPA-C

• Internal Medicine Physician in Schenectady, NY
• Providers in Schenectady, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2015; 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.