Individual provider Active NPI

Aziichap B Tung

  • Psychiatric/Mental Health Nurse Practitioner
  • Washington, DC
National Provider Identifier
1588295018
Registry record updated Jul 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
R227355 Issued in MD
Practice address
7600 Georgia Ave NW Ste 323
Washington, DC 20012-1616
Phone
(202) 723-3060
NPI assigned
Feb 3, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X R227355 MD Primary

Addresses

Primary practice location

7600 Georgia Ave NW Ste 323
Washington, DC 20012-1616

Mailing address

7600 Georgia Ave NW Ste 323
Washington, DC 20012-1616
Phone (202) 723-3060

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA, MD3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20240312003671 DC Practitioner - Nurse Practitioner 0446696496 Reassigns benefits to 1 organization
I20240314004149 VA Practitioner - Nurse Practitioner 0446696496 Reassigns benefits to 1 organization
I20240708003050 MD Practitioner - Nurse Practitioner 0446696496 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Supportive Care of Maryland LLCGroup PAC ID 9234460999, 38 clinicians

Practice addresses (Care Compare)

4409 E W Hwy
Riverdale, MD 20737-1058
Phone (718) 298-4375

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
R227355MDMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Novexa Behavioral Health CurrentSince Jun 8, 2025 Accepting new patients
Supportive Care of Virginia LLC CurrentSince Feb 15, 2024 Accepting new patients
Supportive Care of Maryland LLC CurrentSince Feb 15, 2024 Accepting new patients

Locations

4409 East West Hwy
Riverdale Park, MD 20737
Phone (301) 699-2000

27 Randolph Rd
Howell, NJ 07731
Phone (972) 677-7951

831 E Ellerslie Ave
South Chesterfield, VA 23834
Phone (718) 298-7345

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": "1580688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751932800000",
    "number": "1588295018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7600 GEORGIA AVE NW STE 323",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200121616",
            "telephone_number": "202-723-3060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7600 GEORGIA AVE NW STE 323",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200121616",
            "telephone_number": "202-723-3060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUNG",
        "first_name": "AZIICHAP",
        "middle_name": "B",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-02-03",
        "last_updated": "2025-07-08",
        "certification_date": "2025-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R227355",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.