George Tung, MD PC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

162044 Issued in NY

Legal business name

GEORGE TUNG, MD PC

Practice address

560 Northern Blvd
Great Neck, NY 11020

Phone

(516) 504-2020

Fax

(516) 504-1220

NPI assigned

Jun 20, 2007

Last updated

Mar 22, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Teresa Soccorso

Title

Billing Supervisor

Phone

(516) 783-0300

Specialties & licenses 1

Addresses

Other identifiers 8

Tax ID family

George Tung MD PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Walter Sussman MDPC & George Tung MD

  • Ophthalmology Physician
  • Bellmore, NY
  • NPI 1104008390
  NPD tax ID

Locations

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

{
    "created_epoch": "1182297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490140800000",
    "number": "1558566257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2450 MERRICK RD",
            "city": "BELLMORE",
            "state": "NY",
            "postal_code": "117105704",
            "telephone_number": "516-783-0300",
            "fax_number": "516-738-4048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "560 NORTHERN BLVD",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "11020",
            "telephone_number": "516-504-2020",
            "fax_number": "516-504-1220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGE TUNG, MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-20",
        "last_updated": "2017-03-22",
        "status": "A",
        "authorized_official_last_name": "SOCCORSO",
        "authorized_official_first_name": "TERESA",
        "authorized_official_title_or_position": "BILLING SUPERVISOR",
        "authorized_official_telephone_number": "516-783-0300"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "162044",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AENTA PPO",
            "identifier": "2144535",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "AS851",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE BLUE CROSS-SHIELD",
            "identifier": "18F5110",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "2598669",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CM1515",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "9249627",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET",
            "identifier": "1C6509",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO",
            "identifier": "737803",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Joseph Frank Genovese, D.O.
• Daniel Arthur Gensler, PHD
• Bryan Stanley George
• Mary Lynn George, DMD
• Anthony Paul Geraci, M.D.
• William Michael Gerba, M.D.
• Natalia Gerena

• Ophthalmology Physician in Great Neck, NY
• Providers in Great Neck, NY by specialty
• Ophthalmology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2017; 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.