Organization Active NPI

Lung & Sleep Institute LLC

  • Pulmonary Disease Physician
  • White Plains, MD
National Provider Identifier
1770834608
Registry record updated Nov 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
Legal business name
LUNG & SLEEP INSTITUTE LLC
Practice address
4475 Regency Place
Suite 303
White Plains, MD 20695-3077
Phone
(301) 645-3420
Fax
(301) 645-3423
NPI assigned
Oct 2, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2023

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

Authorized official

Name
Song C Chon, MDNPI 1821069204
Title
Partner
Phone
(301) 645-3420

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
Pulmonary Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RP1001X MD Primary
Sleep Medicine (Internal Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RS0012X MD

Addresses

Primary practice location

4475 Regency Place
Suite 303
White Plains, MD 20695-3077

Mailing address

4475 Regency Place
Suite 303
White Plains, MD 20695-3077
Phone (301) 645-3420

Other identifiers 1

IdentifierTypeStateIssuer
742003000MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20130218000424 MD Part B Supplier - Clinic/Group Practice 2961656152 Receives reassigned benefits from 3 practitioners
Practice locations: White Plains, MD
O20151118002007 DC Part B Supplier - Clinic/Group Practice 2961656152 Receives reassigned benefits from 2 practitioners
Practice locations: White Plains, MD

National Provider Directory

National Provider Directory

Locations

4475 Regency Pl
White Plains, MD 20695
Phone (240) 427-3554

4475 Regency Pl
Ste 303304
White Plains, MD 20695

4475 Regency Pl
Ste 304
White Plains, MD 20695

4475 Regency Pl
Ste 304304
White Plains, MD 20695

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/13367/brand/1/csg/1/fhir/r4

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": "1349136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698969600000",
    "number": "1770834608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4475 REGENCY PLACE",
            "address_2": "SUITE 303",
            "city": "WHITE PLAINS",
            "state": "MD",
            "postal_code": "206953077",
            "telephone_number": "301-645-3420",
            "fax_number": "301-645-3423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4475 REGENCY PLACE",
            "address_2": "SUITE 303",
            "city": "WHITE PLAINS",
            "state": "MD",
            "postal_code": "206953077",
            "telephone_number": "301-645-3420",
            "fax_number": "301-645-3423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUNG & SLEEP INSTITUTE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-02",
        "last_updated": "2023-11-03",
        "certification_date": "2023-11-03",
        "status": "A",
        "authorized_official_last_name": "CHON",
        "authorized_official_first_name": "SONG",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "301-645-3420",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "MD",
            "license": null,
            "primary": true
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "MD",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "742003000",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in White Plains, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2023; 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.