Organization Active NPI

Chung PT Acupuncture, PLLC.

  • Specialist
  • New York, NY
National Provider Identifier
1740667971
Registry record updated Apr 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
022918 Issued in NY
Legal business name
CHUNG PT ACUPUNCTURE, PLLC.
Practice address
315 W 57TH St Ste 315
New York, NY 10019-3147
Phone
(212) 265-2052
NPI assigned
Apr 27, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2015

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

Authorized official

Name
Mr. Chung-Ying TsaiNPI 1740456326
Title
MSPT
Phone
(212) 265-2052

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 174400000X 022918 NY Primary
SpecialistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 174400000X 033314 NY

Addresses

Primary practice location

315 W 57TH St Ste 315
New York, NY 10019-3147

Mailing address

833 58TH St
Brooklyn, NY 11220-3609
Phone (718) 290-2919

Other identifiers 2

IdentifierTypeStateIssuer
03291210MedicaidNY
02976158MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20151203001766 NY Part B Supplier - Physical/Occupational Therapy Group in Private Practice 7214237866 Receives reassigned benefits from 3 practitioners
Practice locations: Brooklyn, NY; Forest Hills, NY; New York, NY

National Provider Directory

National Provider Directory

Locations

11621 Queens Blvd
Forest Hills, NY 11375
Phone (718) 414-2777

315 W 57th St
Ste 315
New York, NY 10019
Phone (212) 265-2052

315 W 57th St
Ste 302
New York, NY 10019
Phone (212) 265-2052

Practitioners & affiliated clinicians

Practitioners 3

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": "1430092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430092800000",
    "number": "1740667971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "833 58TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112203609",
            "telephone_number": "718-290-2919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 W 57TH ST STE 315",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100193147",
            "telephone_number": "212-265-2052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHUNG PT ACUPUNCTURE, PLLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-27",
        "last_updated": "2015-04-27",
        "status": "A",
        "authorized_official_last_name": "TSAI",
        "authorized_official_first_name": "CHUNG-YING",
        "authorized_official_title_or_position": "MSPT",
        "authorized_official_telephone_number": "212-265-2052",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": "022918",
            "primary": true
        },
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": "033314",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03291210",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02976158",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.