Active NPI
David C.Y. Kung, M.D.
- Specialist
- Elmira, NY
National Provider Identifier
1699834721
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 145 874
- Practice address
- 300 Madison Ave
Elmira, NY 14901-2813 - Phone
- (607) 734-2574
- Fax
- (607) 734-3303
- NPI assigned
- Dec 6, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 145 874 | NY | Primary |
Addresses
Primary practice location
300 Madison Ave
Elmira, NY 14901-2813
Mailing address
45 Talerico Rd
Horseheads, NY 14845-8522
Phone (607) 734-2574
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 50311B | Other | NY | P/TAN |
| 00602988 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 145 874 | NY | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arnot Ogden Medical Center | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- General Acute Care Hospital
- Elmira, NY
- NPI 1083605661
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165363200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1277769600000",
"number": "1699834721",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "45 TALERICO RD",
"city": "HORSEHEADS",
"state": "NY",
"postal_code": "148458522",
"telephone_number": "607-734-2574",
"fax_number": "607-734-3303"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 MADISON AVE",
"city": "ELMIRA",
"state": "NY",
"postal_code": "149012813",
"telephone_number": "607-734-2574",
"fax_number": "607-734-3303"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KUNG",
"first_name": "DAVID",
"middle_name": "C.Y.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-06",
"last_updated": "2010-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NY",
"license": "145 874",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "P/TAN",
"identifier": "50311B",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00602988",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Elmira, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.