Individual provider Active NPI

Nam-Young Chung, MD

  • Pediatrics Physician
  • Livingston, NJ
National Provider Identifier
1740586163
Registry record updated Sep 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
25MA08532100 Issued in NJ
Practice address
51 Congressional Pkwy
Livingston, NJ 07039-2134
Phone
(201) 808-8610
Fax
(201) 875-5443
NPI assigned
Feb 2, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 22, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 25MA08532100 NJ Primary

Addresses

Primary practice location

51 Congressional Pkwy
Livingston, NJ 07039-2134

Mailing address

1640 Schlosser St Ste C3
Fort Lee, NJ 07024-5656
Phone (201) 808-8610

Other names 1

  • Mrs. Nam-Young Chung Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130205000091 NJ Practitioner - Pediatric Medicine 9032363700 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Associates of Englewood, PC CurrentSince Mar 1, 2013 Accepting new patients
Emergency Physician Services of New Jersey,Professional Association CurrentSince Sep 1, 2014 Accepting new patients
Englewood Hospital and Medical Center Past Accepting new patients
Teaneck Emergency Physicians PA Past Accepting new patients
Smart Care Pediatrics PC Past Accepting new patients

Locations

350 Engle St
Englewood, NJ 07631
Phone (201) 871-6073

180 Engle St
Englewood, NJ 07631
Phone (201) 567-2050

350 Engle St
Rm 4270
Englewood, NJ 07631
Phone (201) 894-3414

22-02 Broadway
Ste 301
Fair Lawn, NJ 07410
Phone (201) 414-5016

30 Prospect Ave
Hackensack, NJ 07601
Phone (201) 488-0066

24 Elm St
Ste 203
Harrington Pk, NJ 07640
Phone (201) 784-0123

718 Teaneck Rd
Teaneck, NJ 07666
Phone (201) 833-3232

Organizations & group practices 5

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

NPI Registry JSON

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

{
    "created_epoch": "1296604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1411344000000",
    "number": "1740586163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1640 SCHLOSSER ST STE C3",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "070245656",
            "telephone_number": "201-808-8610",
            "fax_number": "201-875-5443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51 CONGRESSIONAL PKWY",
            "city": "LIVINGSTON",
            "state": "NJ",
            "postal_code": "070392134",
            "telephone_number": "201-808-8610",
            "fax_number": "201-875-5443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHUNG",
        "first_name": "NAM-YOUNG",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-02-02",
        "last_updated": "2014-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NJ",
            "license": "25MA08532100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NAM-YOUNG",
            "last_name": "CHUNG",
            "prefix": "MRS.",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Livingston, NJ

Sources for this page

Verify at the official NPI Registry.