Individual provider Active NPI

Lily Tung, NP

  • Family Nurse Practitioner
  • Nashville, TN
National Provider Identifier
1700141447
Registry record updated Nov 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
337083 Issued in NY
Practice address
926 Main St
Nashville, TN 37206-3614
Phone
(615) 436-9060
NPI assigned
Jul 9, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 337083 NY Primary

Addresses

Primary practice location

926 Main St
Nashville, TN 37206-3614

Mailing address

926 Main St
Nashville, TN 37206-3614
Phone (615) 436-9060

Other practice location 1

20934 Northern Blvd # 1058
Bayside, NY 11361-3149
Phone (347) 588-3246

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20160202002061 NY Practitioner - Nurse Practitioner 4385948926 Reassigns benefits to 2 organizations
I20241106000693 NJ Practitioner - Nurse Practitioner 4385948926 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

6 Kilmer Rd
Suite 1216
Edison, NJ 08817-2432
Phone (347) 558-3246

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Lily Tung Psychiatry LLC Psychiatric/Mental Health CurrentSince Sep 1, 2024 Accepting new patients
Weill Medical College of Cornell Current Accepting new patients
Weill Medical College of Cornell CurrentSince Nov 28, 2015 Accepting new patients
Weill Medical College of Cornell CurrentSince Nov 28, 2015 Accepting new patients
Evergreen Medical Clinic P.C Past Accepting new patients

Locations

6 Kilmer Rd
Ste 1216
Edison, NJ 08817

6 Kilmer Rd
#1216
Edison, NJ 08817
Phone (347) 558-3246

20934 Northern Blvd
#1058
Bayside, NY 11361
Phone (347) 588-3246

170 William St
New York, NY 10038
Phone (212) 238-0100

525 E 68th St
New York, NY 10065
Phone (212) 746-2846

Interoperability endpoints

  • Direct secure messaging: lily.tung@237407481626628.direct.elationemr.com

Organizations & group practices 5

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": "1341792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731456000000",
    "number": "1700141447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "926 MAIN ST",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372063614",
            "telephone_number": "615-436-9060",
            "fax_number": "615-235-9725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "926 MAIN ST",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372063614",
            "telephone_number": "615-436-9060"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20934 Northern Blvd # 1058",
            "address_purpose": "LOCATION",
            "city": "Bayside",
            "state": "NY",
            "postal_code": "113613149",
            "country_code": "US",
            "telephone_number": "347-588-3246",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TUNG",
        "first_name": "LILY",
        "name_prefix": "Miss",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-09",
        "last_updated": "2024-11-13",
        "certification_date": "2024-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "337083",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

Verify at the official NPI Registry.