Individual provider Active NPI

Eun Chung Hong, FNP-BC

  • Nurse Practitioner
  • Cohasset, MA
National Provider Identifier
1730795238
Registry record updated Dec 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
RN2329745 Issued in MA
Practice address
223 Chief Justice Cushing Hwy Ste 301
Cohasset, MA 02025-1391
Phone
(781) 383-6261
Fax
(781) 383-1084
NPI assigned
Sep 20, 2020
Last updated
Dec 2, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X RN2329745 MA Primary

Addresses

Primary practice location

223 Chief Justice Cushing Hwy Ste 301
Cohasset, MA 02025-1391

Mailing address

223 Chief Justice Cushing Hwy
Cohasset, MA 02025-1391

Other practice location 1

2 Sheldon St Apt 1
Boston, MA 02131-2613
Phone (617) 800-3329

Other identifiers 1

IdentifierTypeStateIssuer
RN2329745OtherMACOMMONWEALTH OF MASSACHUSETTS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201221002784 MA Practitioner - Nurse Practitioner 2567874282 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Healthcare South PCGroup PAC ID 0941273262, 24 clinicians

Practice addresses (Care Compare)

223 Chief Justice Cushing Hwy 101
Cohasset, MA 02025-1391
Phone (781) 383-6800

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Healthcare South PC CurrentSince Nov 30, 2020 Accepting new patients

Locations

223 Chief Justice Cushing Hwy
Cohasset, MA 02025
Phone (781) 383-3340

223 Chief Justice Cushing Hwy
Ste 101
Cohasset, MA 02025
Phone (781) 383-6800

223 Chief Justice Cushing Hwy
Ste 301
Cohasset, MA 02025
Phone (781) 373-6261

56 New Driftway
Ste 301
Scituate, MA 02066
Phone (781) 383-6261

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1600560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606867200000",
    "number": "1730795238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "223 CHIEF JUSTICE CUSHING HWY",
            "city": "COHASSET",
            "state": "MA",
            "postal_code": "020251391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "223 CHIEF JUSTICE CUSHING HWY STE 301",
            "city": "COHASSET",
            "state": "MA",
            "postal_code": "020251391",
            "telephone_number": "781-383-6261",
            "fax_number": "781-383-1084"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2 Sheldon St Apt 1",
            "address_purpose": "LOCATION",
            "city": "Boston",
            "state": "MA",
            "postal_code": "021312613",
            "country_code": "US",
            "telephone_number": "617-800-3329",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HONG",
        "first_name": "EUN CHUNG",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-20",
        "last_updated": "2020-12-02",
        "certification_date": "2020-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MA",
            "license": "RN2329745",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMONWEALTH OF MASSACHUSETTS",
            "identifier": "RN2329745",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cohasset, MA

Sources for this page

Verify at the official NPI Registry.