Organization Active NPI

Stanley Chung, MD,PA

  • Durable Medical Equipment & Medical Supplies
  • Frederick, MD
National Provider Identifier
1710123302
Registry record updated Jun 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
1216120001 Issued in MD
Legal business name
STANLEY CHUNG, MD,PA
Practice address
187 Thomas Johnson Dr
Suite 1
Frederick, MD 21702-4503
Phone
(301) 663-0131
Fax
(301) 698-9449
NPI assigned
Jan 2, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2013

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

Authorized official

Name
Dr. Stanley Chung, M.D.NPI 1144229972
Title
Owner
Phone
(301) 663-0131

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 1216120001 MD Primary

Addresses

Primary practice location

187 Thomas Johnson Dr
Suite 1
Frederick, MD 21702-4503

Mailing address

187 Thomas Johnson Dr
Suite 1
Frederick, MD 21702-4503
Phone (301) 663-0131

Other identifiers 1

IdentifierTypeStateIssuer
552240400MedicaidMD

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1230854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370390400000",
    "number": "1710123302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "187 THOMAS JOHNSON DR",
            "address_2": "SUITE 1",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217024503",
            "telephone_number": "301-663-0131",
            "fax_number": "301-698-9449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "187 THOMAS JOHNSON DR",
            "address_2": "SUITE 1",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217024503",
            "telephone_number": "301-663-0131",
            "fax_number": "301-698-9449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STANLEY CHUNG, MD,PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-02",
        "last_updated": "2013-06-05",
        "status": "A",
        "authorized_official_last_name": "CHUNG",
        "authorized_official_first_name": "STANLEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-663-0131",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MD",
            "license": "1216120001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "552240400",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Frederick, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2013; 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.