Individual provider Active NPI

Jennie Chung-Albert, MA.ED

  • Specialist
  • Port Chester, NY
National Provider Identifier
1760744379
Registry record updated Jun 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
726678 Issued in NY
Practice address
1 Landmark SQ
Apt. 312
Port Chester, NY 10573-3348
Phone
(212) 828-3717
NPI assigned
Jun 10, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 10, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 726678 NY Primary

Addresses

Primary practice location

1 Landmark SQ
Apt. 312
Port Chester, NY 10573-3348

Mailing address

1 Landmark SQ
Apt. 312
Port Chester, NY 10573-3348
Phone (212) 828-3717

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
726678NYMDSpecialist

NPI Registry JSON

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

{
    "created_epoch": "1339286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339286400000",
    "number": "1760744379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 LANDMARK SQ",
            "address_2": "APT. 312",
            "city": "PORT CHESTER",
            "state": "NY",
            "postal_code": "105733348",
            "telephone_number": "212-828-3717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 LANDMARK SQ",
            "address_2": "APT. 312",
            "city": "PORT CHESTER",
            "state": "NY",
            "postal_code": "105733348",
            "telephone_number": "212-828-3717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHUNG-ALBERT",
        "first_name": "JENNIE",
        "name_prefix": "Mrs.",
        "credential": "MA.ED",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-10",
        "last_updated": "2012-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "726678",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Chester, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2012; 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.