Individual provider Active NPI

Michael Stephen Tung, M.D.

  • Internal Medicine Physician
  • King of Prussia, PA
National Provider Identifier
1710036520
Registry record updated Apr 3, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
216824 Issued in MA
Practice address
300 Village Dr Apt 546
King of Prussia, PA 19406-2878
Phone
(978) 421-6527
NPI assigned
Jan 10, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 3, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 249677 NY
Internal Medicine Physician 207R00000X 216824 MA Primary

Addresses

Primary practice location

300 Village Dr Apt 546
King of Prussia, PA 19406-2878

Mailing address

300 Village Dr Apt 546
King of Prussia, PA 19406-2878
Phone (978) 421-6527

Other practice location 1

8 Sparta Way
Andover, MA 01810-6064
Phone (978) 421-6527

Other practice location 2

60 Plaza St E Apt 4J
Brooklyn, NY 11238-5020
Phone (978) 421-6527

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)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
216824MAMDInternal Medicine Physician
249677NYMDInternal Medicine Physician

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522713600000",
    "number": "1710036520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 VILLAGE DR APT 546",
            "city": "KING OF PRUSSIA",
            "state": "PA",
            "postal_code": "194062878",
            "telephone_number": "978-421-6527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 VILLAGE DR APT 546",
            "city": "KING OF PRUSSIA",
            "state": "PA",
            "postal_code": "194062878",
            "telephone_number": "978-421-6527"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8 Sparta Way",
            "address_purpose": "LOCATION",
            "city": "Andover",
            "state": "MA",
            "postal_code": "018106064",
            "country_code": "US",
            "telephone_number": "978-421-6527",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "60 Plaza St E Apt 4J",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112385020",
            "country_code": "US",
            "telephone_number": "978-421-6527",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TUNG",
        "first_name": "MICHAEL",
        "middle_name": "STEPHEN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-10",
        "last_updated": "2018-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "249677",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "216824",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in King of Prussia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.