Individual provider Active NPI

Maung Maung, MD

  • Internal Medicine Physician
  • Flushing, NY
National Provider Identifier
1548219041
Registry record updated May 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
2002761 Issued in NY
Practice address
13620 38TH Ave FL 4
Suite CFC
Flushing, NY 11354-4277
Phone
(718) 461-0978
Fax
(718) 461-0973
NPI assigned
May 10, 2006
Last updated
May 20, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 2002761 NY Primary

Addresses

Primary practice location

13620 38TH Ave FL 4
Suite CFC
Flushing, NY 11354-4277

Mailing address

13620 38TH Ave FL 4
Suite CFC
Flushing, NY 11354-4277
Phone (718) 461-0978

Other identifiers 1

IdentifierTypeStateIssuer
01587677MedicaidNY

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
I20040712001624 NY Practitioner - Internal Medicine 9234117599 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

136 20
4 FL Suite CF C
Flushing, NY 11354-4277
Phone (718) 461-0978

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2002761NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Maung Maung, MD PLLC CurrentSince Aug 16, 2007 Accepting new patients
Central Brooklyn Medical Group PC Internal Medicine Past Accepting new patients

Locations

13620 38th Ave
Ste 4CFC
Flushing, NY 11354

Networks

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

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1147219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369008000000",
    "number": "1548219041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13620 38TH AVE FL 4",
            "address_2": "SUITE CFC",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113544277",
            "telephone_number": "718-461-0978",
            "fax_number": "718-461-0973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13620 38TH AVE FL 4",
            "address_2": "SUITE CFC",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113544277",
            "telephone_number": "718-461-0978",
            "fax_number": "718-461-0973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAUNG",
        "first_name": "MAUNG",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-10",
        "last_updated": "2013-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "2002761",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01587677",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, NY

Sources for this page

Verify at the official NPI Registry.