Active NPI
Tae Joon Chung, MD PC
- Rheumatology Physician
- Reston, VA
National Provider Identifier
1578729216
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rheumatology Physician
- License
- 0101232063
- Legal business name
- TAE JOON CHUNG, MD PC
- Practice address
- 1830 Town Center Dr
Suite 308
Reston, VA 20190-3292 - Phone
- (703) 668-0700
- Fax
- (703) 668-0707
- NPI assigned
- Aug 1, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Tae Joon Chung, M.D.
- Title
- Owner
- Phone
- (703) 668-0700
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rheumatology Physician | 207RR0500X | 0101232063 | VA | Primary |
Addresses
Primary practice location
1830 Town Center Dr
Suite 308
Reston, VA 20190-3292
Mailing address
1830 Town Center Dr
Suite 308
Reston, VA 20190-3292
Phone (703) 668-0700
Other names 1
- Reston Rheumatology and Arthritis Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1830 Town Center Dr
#3
Reston, VA 20190
Phone (703) 668-0700
1830 Town Center Dr
Ste 308
Reston, VA 20190
Phone (703) 668-0700
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/JGJEBA
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1217548800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1271894400000",
"number": "1578729216",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1830 TOWN CENTER DR",
"address_2": "SUITE 308",
"city": "RESTON",
"state": "VA",
"postal_code": "201903292",
"telephone_number": "703-668-0700",
"fax_number": "703-668-0707"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1830 TOWN CENTER DR",
"address_2": "SUITE 308",
"city": "RESTON",
"state": "VA",
"postal_code": "201903292",
"telephone_number": "703-668-0700",
"fax_number": "703-668-0707"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TAE JOON CHUNG, MD PC",
"organizational_subpart": "NO",
"enumeration_date": "2008-08-01",
"last_updated": "2010-04-22",
"status": "A",
"authorized_official_last_name": "CHUNG",
"authorized_official_first_name": "TAE",
"authorized_official_middle_name": "JOON",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "703-668-0700",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207RR0500X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Rheumatology",
"state": "VA",
"license": "0101232063",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Reston Rheumatology and Arthritis Center",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Reston, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.