Individual provider Active NPI

Wendy Wei Chung, M.D.

  • Pediatrics Physician
  • Flushing, NY
National Provider Identifier
1508949975
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
189829 Issued in NY
Practice address
4211 Kissena Blvd Apt 1C
Flushing, NY 11355-3221
Phone
(718) 886-0068
Fax
(718) 961-8960
NPI assigned
Oct 21, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 189829 NY Primary

Addresses

Primary practice location

4211 Kissena Blvd Apt 1C
Flushing, NY 11355-3221

Mailing address

4211 Kissena Blvd Apt 1C
Flushing, NY 11355-3221
Phone (718) 886-0068

Other identifiers 1

IdentifierTypeStateIssuer
01646955MedicaidNY

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20210130000023 NY Practitioner - Pediatric Medicine 7012344625 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
189829NYMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Chinatown True Care Medical PLLC Pediatrics CurrentSince Oct 30, 2020 Accepting new patients
Newyork-Presbyterian-Queens Past Accepting new patients
Flushing Hospital & Medical Center Past Accepting new patients

Locations

4211 Kissena Blvd
Apt 1C
Flushing, NY 11355
Phone (718) 886-0068

4235 Main St
Ste 3E
Flushing, NY 11355
Phone (718) 886-5068

139 Centre St
Ste 515
New York, NY 10013
Phone (212) 941-9020

139 Centre St
Ste 711
New York, NY 10013
Phone (646) 601-6229

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/
  • Direct secure messaging: wendychung@1413.mdlanddirect.com
  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
  • Direct secure messaging: wwc9003@direct.nyp.org

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1161388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1508949975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4211 KISSENA BLVD APT 1C",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113553221",
            "telephone_number": "718-886-0068",
            "fax_number": "718-961-8960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4211 KISSENA BLVD APT 1C",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113553221",
            "telephone_number": "718-886-0068",
            "fax_number": "718-961-8960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHUNG",
        "first_name": "WENDY",
        "middle_name": "WEI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "189829",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01646955",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, NY

Sources for this page

Verify at the official NPI Registry.