Organization Active NPI

Jeffrey Y.H. Chung, L.L.C.

  • Ophthalmology Physician
  • Laurel, MD
National Provider Identifier
1780812941
Registry record updated Jun 26, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
D0067554 Issued in MD
Legal business name
JEFFREY Y.H. CHUNG, L.L.C.
Practice address
14201 Laurel Park Dr
Suite 104
Laurel, MD 20707-5203
Phone
(301) 880-7255
NPI assigned
Jun 26, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2009

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

Authorized official

Name
Dr. Yau Huei Chung, M.D.NPI 1740388453
Title
Manager
Phone
(216) 212-1036

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X D0067554 MD Primary

Addresses

Primary practice location

14201 Laurel Park Dr
Suite 104
Laurel, MD 20707-5203

Mailing address

PO Box 1439
Laurel, MD 20725-1439
Phone (301) 880-7255

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090811000508 DC Part B Supplier - Clinic/Group Practice 9032263017 Receives reassigned benefits from 1 practitioner
Practice locations: Gaithersburg, MD; Laurel, MD

National Provider Directory

National Provider Directory
Tax ID family
Jeffrey Yh Chung LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

16220 Frederick Rd
Ste 121
Gaithersburg, MD 20877
Phone (301) 880-7255

Practitioners & affiliated clinicians

Practitioners 1

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": "1245974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245974400000",
    "number": "1780812941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1439",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207251439",
            "telephone_number": "301-880-7255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14201 LAUREL PARK DR",
            "address_2": "SUITE 104",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207075203",
            "telephone_number": "301-880-7255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFREY Y.H. CHUNG, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-26",
        "last_updated": "2009-06-26",
        "status": "A",
        "authorized_official_last_name": "CHUNG",
        "authorized_official_first_name": "YAU HUEI",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "216-212-1036",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "MD",
            "license": "D0067554",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laurel, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2009; 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.