Ivy D Chung, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

263721 Issued in NY

Practice address

45 Mall Dr
Commack, NY 11725-5700

Phone

(631) 326-4563

Fax

(631) 493-1865

NPI assigned

Dec 15, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Charles Evans Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Bethpage, NY
  • NPI 1972982007
  Medicare reassignment NPD
• State of New York Comptrollers Office

  • Developmental Disabilities Clinic/Center
  • Staten Island, NY
  • NPI 1750469912
  Medicare reassignment NPD
• Ivy Chung MD PC

  • Adult Medicine Physician
  • Little Neck, NY
  • NPI 1225506058
  NPD Authorized official
• Charles Evans Center, Inc

  • Federally Qualified Health Center (FQHC)
  • Seaford, NY
  • NPI 1215596614
  NPD
• State of New York Comptrollers Office

  • Developmental Disabilities Clinic/Center
  • Tarrytown, NY
  • NPI 1285775825
  NPD
• Long Island Family Medical Group PC

  • Family Medicine Physician
  • Sayville, NY
  • NPI 1447312988
  NPD (past)
• Platinum Family Medicine P.C.

  • Family Medicine Physician
  • Miller Place, NY
  • NPI 1841617412
  NPD (past)

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

{
    "created_epoch": "1323907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752537600000",
    "number": "1477822757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 WHITNEY CIR",
            "city": "GLEN COVE",
            "state": "NY",
            "postal_code": "115421316",
            "telephone_number": "917-292-6971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 MALL DR",
            "city": "COMMACK",
            "state": "NY",
            "postal_code": "117255700",
            "telephone_number": "631-326-4563",
            "fax_number": "631-493-1865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHUNG",
        "first_name": "IVY",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-12-15",
        "last_updated": "2025-07-15",
        "certification_date": "2025-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "263721",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cheryl S. Chitayat, PSY.D.
• Kayla Cholpan
• Sahana Choudhury, NP-C
• Chris Prentiss Physical Therapy PC
• Oleksandra Chumak, LMHC
• Maryann Ciccarelli, MSW
• Miriam A Cidoni, MSW, LCSW
• Justine Alexa Ciesinski
• Dawn Marie Cimaglia
• Alina C Ciobanu, M.D.

• Family Medicine Physician in Commack, NY
• Providers in Commack, NY by specialty
• Family Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2025; 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.