Active NPI
Jeannie Hye-Joon Chung, MD
- Plastic Surgery within the Head & Neck (Otolaryngology) Physician
- Wellesley, MA
National Provider Identifier
1770610909
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery within the Head & Neck (Otolaryngology) Physician
- License
- 220376
- Practice address
- 40 Walnut St Ste 202
Wellesley, MA 02481-2175 - Phone
- (781) 235-3223
- Fax
- (781) 235-2210
- NPI assigned
- Feb 27, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic Surgery within the Head & Neck (Otolaryngology) Physician | 207YX0007X | 220376 | MA | Primary |
Addresses
Primary practice location
40 Walnut St Ste 202
Wellesley, MA 02481-2175
Mailing address
40 Walnut St Ste 202
Wellesley, MA 02481-2175
Phone (781) 235-3223
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3196615 | Medicaid | MA | |
| 3631661 | Other | MA | US HEALTH |
| CHJ28101 | Other | MA | BLUE CROSS BLUE SHIELD |
| 469790 | Other | MA | TUFTS |
| AA18695 | Other | MA | HARVARD PILGRIM |
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)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Von Weiss Dermatology Center | Past | Accepting new patients | |
| John Vonweiss M.D. Inc | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Facial Plastic Surgery Physician
- Salem, MA
- NPI 1699790055
-
- Dermatology Physician
- Salem, MA
- NPI 1598710725
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172534400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1778112000000",
"number": "1770610909",
"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": "024812175",
"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 ST STE 202",
"city": "WELLESLEY",
"state": "MA",
"postal_code": "024812175",
"telephone_number": "781-235-3223",
"fax_number": "781-235-2210"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHUNG",
"first_name": "JEANNIE",
"middle_name": "HYE-JOON",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-27",
"last_updated": "2026-05-07",
"certification_date": "2026-05-07",
"status": "A"
},
"taxonomies": [
{
"code": "207YX0007X",
"taxonomy_group": "",
"desc": "Otolaryngology, Plastic Surgery within the Head & Neck",
"state": "MA",
"license": "220376",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3196615",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "US HEALTH",
"identifier": "3631661",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "CHJ28101",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS",
"identifier": "469790",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD PILGRIM",
"identifier": "AA18695",
"state": "MA"
}
],
"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.