Individual provider Active NPI

Richard J Lung, MD

  • Specialist
  • Coral Gables, FL
National Provider Identifier
1790780294
Registry record updated Jul 21, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
ME0074477 Issued in FL
Practice address
401 Coral Way
Suite 408
Coral Gables, FL 33134-4930
Phone
(305) 446-7376
Fax
(305) 446-1665
NPI assigned
Jun 20, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X ME0074477 FL Primary

Addresses

Primary practice location

401 Coral Way
Suite 408
Coral Gables, FL 33134-4930

Mailing address

401 Coral Way
Suite 408
Coral Gables, FL 33134-4930
Phone (305) 446-7376

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

State licenses

LicenseStateTypeSpecialty
ME0074477FLMDSpecialist

NPI Registry JSON

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

{
    "created_epoch": "1119225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1248134400000",
    "number": "1790780294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 CORAL WAY",
            "address_2": "SUITE 408",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331344930",
            "telephone_number": "305-446-7376",
            "fax_number": "305-446-1665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 CORAL WAY",
            "address_2": "SUITE 408",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331344930",
            "telephone_number": "305-446-7376",
            "fax_number": "305-446-1665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUNG",
        "first_name": "RICHARD",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-20",
        "last_updated": "2009-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME0074477",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Gables, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2009; 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.