Organization Active NPI

Jeannie H Chung MD PC

  • Plastic Surgery within the Head & Neck (Otolaryngology) Physician
  • Wellesley, MA
National Provider Identifier
1730434614
Registry record updated May 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery within the Head & Neck (Otolaryngology) PhysicianTaxonomy code 207YX0007X
License
220376 Issued in MA
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

Updated by the provider on May 7, 2026

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)CodeLicenseStatePrimary
Plastic Surgery within the Head & Neck (Otolaryngology) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.