Active NPI
Michael Stephen Tung, M.D.
- Internal Medicine Physician
- King of Prussia, PA
National Provider Identifier
1710036520
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 216824
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 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
| License | State | Type | Specialty |
|---|---|---|---|
| 216824 | MA | MD | Internal Medicine Physician |
| 249677 | NY | MD | Internal 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.