Active NPI
Jeannie H Chung MD PC
- Plastic Surgery within the Head & Neck (Otolaryngology) Physician
- Wellesley, MA
National Provider Identifier
1730434614
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery within the Head & Neck (Otolaryngology) Physician
- License
- 220376
- Legal business name
- JEANNIE H CHUNG MD PC
- Practice address
- 40 Walnut Street Ste 202
Wellesley, MA 02481 - Phone
- (781) 235-3223
- Fax
- (781) 235-2210
- NPI assigned
- Jul 17, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jeannie Chung, MD
- Title
- Owner
- Phone
- (781) 235-3223
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic Surgery within the Head & Neck (Otolaryngology) Physician | 207YX0007X | 220376 | MA | Primary |
Addresses
Primary practice location
40 Walnut Street Ste 202
Wellesley, MA 02481
Mailing address
40 Walnut St Ste 202
Wellesley, MA 02481-2102
Phone (781) 235-3223
National Provider Directory
National Provider DirectoryLocations
28 Andover St
Andover, MA 01810
Phone (978) 475-6622
40 Walnut St
Ste 202
Wellesley, MA 02481
Phone (781) 235-3223
40 Walnut St
Wellesley Hills, MA 02481
Phone (781) 235-1224
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1342483200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1778112000000",
"number": "1730434614",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "40 WALNUT ST STE 202",
"city": "WELLESLEY",
"state": "MA",
"postal_code": "024812102",
"telephone_number": "781-235-3223",
"fax_number": "781-235-2210"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "40 WALNUT STREET STE 202",
"city": "WELLESLEY",
"state": "MA",
"postal_code": "02481",
"telephone_number": "781-235-3223",
"fax_number": "781-235-2210"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JEANNIE H CHUNG MD PC",
"organizational_subpart": "NO",
"enumeration_date": "2012-07-17",
"last_updated": "2026-05-07",
"certification_date": "2026-05-07",
"status": "A",
"authorized_official_last_name": "CHUNG",
"authorized_official_first_name": "JEANNIE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "781-235-3223",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207YX0007X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Otolaryngology, Plastic Surgery within the Head & Neck",
"state": "MA",
"license": "220376",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wellesley, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.