Organization Active NPI

Chungfai Tung M.D. P.C.

  • Primary Care Clinic/Center
  • New York, NY
National Provider Identifier
1679721732
Registry record updated Oct 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
239306 Issued in NY
Legal business name
CHUNGFAI TUNG M.D. P.C.
Practice address
100 E Broadway Ste 803
New York, NY 10002-7187
Phone
(212) 608-8070
NPI assigned
Sep 3, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2024

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

Authorized official

Name
Dr. Chungfai Tung, MDNPI 1396917209
Title
Chairman
Phone
(212) 608-8070

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X 239306 NY
Primary Care Clinic/Center 261QP2300X 239306 NY Primary

Addresses

Primary practice location

100 E Broadway Ste 803
New York, NY 10002-7187

Mailing address

100 E Broadway Ste 803
New York, NY 10002-7187
Phone (212) 608-8070

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080906000142 NY Part B Supplier - Clinic/Group Practice 2365518834 Receives reassigned benefits from 1 practitioner
Practice locations: New York, NY

National Provider Directory

National Provider Directory

Locations

28 E Broadway
Fl 2
New York, NY 10002
Phone (212) 965-9868

120 E Broadway
Fl 5
New York, NY 10002
Phone (212) 608-8070

100 E Broadway
Ste 803
New York, NY 10002
Phone (212) 608-8070

Practitioners & affiliated clinicians

Practitioners 2

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": "1220400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728864000000",
    "number": "1679721732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 E BROADWAY STE 803",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100027187",
            "telephone_number": "212-608-8070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 E BROADWAY STE 803",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100027187",
            "telephone_number": "212-608-8070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHUNGFAI TUNG M.D. P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-03",
        "last_updated": "2024-10-14",
        "certification_date": "2024-10-14",
        "status": "A",
        "authorized_official_last_name": "TUNG",
        "authorized_official_first_name": "CHUNGFAI",
        "authorized_official_title_or_position": "CHAIRMAN",
        "authorized_official_telephone_number": "212-608-8070",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "NY",
            "license": "239306",
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NY",
            "license": "239306",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2024; 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.