Michael Hung Phung, MD

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

MA42660 Issued in NJ

Practice address

596 Pavonia Avenue
Jersey City, NJ 07306

Phone

(201) 792-4996

Fax

(201) 792-9663

NPI assigned

Sep 23, 2006

Last updated

Jun 21, 2013By 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 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in NJ

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

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: michael.phung@direct.christhospital.md

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.

• Christ Hospital Cardiology Assoc

  • Cardiovascular Disease Physician
  • Jersey City, NJ
  • NPI 1285771345
  NPD (past) Authorized official
• Hudson Hospital Opco LLC

  dba Christ Hospital

  • General Acute Care Hospital
  • Jersey City, NJ
  • NPI 1871859306
  NPD
• Shah Anuj MD PC

  dba Apex Heart and Vascular Care

  • Interventional Cardiology Physician
  • Passaic, NJ
  • NPI 1215445127
  NPD (past)
• St. Mary Cardiology Associates

  • Cardiovascular Disease Physician
  • Hoboken, NJ
  • NPI 1477690527
  NPD (past)

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

{
    "created_epoch": "1158969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1371772800000",
    "number": "1508966219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "596 PAVONIA AVENUE",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "07306",
            "telephone_number": "201-792-4996",
            "fax_number": "201-792-9663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "596 PAVONIA AVENUE",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "07306",
            "telephone_number": "201-792-4996",
            "fax_number": "201-792-9663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHUNG",
        "first_name": "MICHAEL",
        "middle_name": "HUNG",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-23",
        "last_updated": "2013-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NJ",
            "license": "MA42660",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4016408",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4093282",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "HP007",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "00057199",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pha4 LLC
• Pha4 LLC
• Michael M Pham, M.D.
• Phasebdevelopment
• Carmelle Dorothy Phillips, OTR
• Physical Medicine and Rehabilitation Services
• Physical Medicine and Rehabilitation SVCS of Hudson Countyp.a
• Physician Partners of Englewood, PC
• Kristine Pianeta, OD
• Lindsay B Pianin, LCSW, LCADC

• Cardiovascular Disease Physician in Jersey City, NJ
• Providers in Jersey City, NJ by specialty
• Cardiovascular Disease Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2013; 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.