Organization Active NPI

Y Howard Pung MD PA

  • Allergy & Immunology Physician
  • Rockville, MD
National Provider Identifier
1659306868
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
D0042449 Issued in MD
Legal business name
Y HOWARD PUNG MD PA
Practice address
11119 Rockville Pike
Suite 406
Rockville, MD 20852
Phone
(301) 770-7756
Fax
(301) 770-5870
NPI assigned
Jul 12, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Y Howard Pung, MD PA
Title
Medical Director
Phone
(301) 770-7756

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207K00000X D0042449 MD Primary
Allergy & Immunology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207K00000X MD19740 DC
Allergy & Immunology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207K00000X 0101046081 VA

Addresses

Primary practice location

11119 Rockville Pike
Suite 406
Rockville, MD 20852

Mailing address

11119 Rockville Pike
Suite 406
Rockville, MD 20852
Phone (301) 770-7756

Other names 1

  • Yung-Hao Howard Pung MD PA Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041012001431 DC Part B Supplier - Clinic/Group Practice 1850351040 Receives reassigned benefits from 1 practitioner
Practice locations: Rockville, MD

National Provider Directory

National Provider Directory

Locations

11119 Rockville Pike
Ste 406
Rockville, MD 20852
Phone (301) 648-0025

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": "1152662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1659306868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11119 ROCKVILLE PIKE",
            "address_2": "SUITE 406",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "20852",
            "telephone_number": "301-770-7756",
            "fax_number": "301-770-5870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11119 ROCKVILLE PIKE",
            "address_2": "SUITE 406",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "20852",
            "telephone_number": "301-770-7756",
            "fax_number": "301-770-5870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "Y HOWARD PUNG MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PUNG",
        "authorized_official_first_name": "Y",
        "authorized_official_middle_name": "HOWARD",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "301-770-7756",
        "authorized_official_credential": "MD PA"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Allergy & Immunology",
            "state": "MD",
            "license": "D0042449",
            "primary": true
        },
        {
            "code": "207K00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Allergy & Immunology",
            "state": "DC",
            "license": "MD19740",
            "primary": false
        },
        {
            "code": "207K00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Allergy & Immunology",
            "state": "VA",
            "license": "0101046081",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Yung-Hao Howard Pung MD PA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Rockville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.

Verify at the official NPI Registry.