Organization Active NPI

Yun Hee Chung MD PC

  • Hematology & Oncology Physician
  • Flushing, NY
National Provider Identifier
1790980738
Registry record updated Apr 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
152818 Issued in NY
Legal business name
YUN HEE CHUNG MD PC
Practice address
14218 38TH Ave
Suite #1B
Flushing, NY 11354-5550
Phone
(718) 461-7700
Fax
(718) 539-5175
NPI assigned
Jun 19, 2007
Last updated
Apr 25, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2011

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

Authorized official

Name
Yun Hee Chung, MD PCNPI 1205948668
Title
Owner
Phone
(718) 461-7700

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
Hematology & Oncology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207RH0003X 152818 NY Primary

Addresses

Primary practice location

14218 38TH Ave
Suite #1B
Flushing, NY 11354-5550

Mailing address

14218 38TH Ave
Suite #1B
Flushing, NY 11354-5550
Phone (718) 461-7700

Other identifiers 1

IdentifierTypeStateIssuer
00828771MedicaidNY

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051109000994 NY Part B Supplier - Clinic/Group Practice 0244258069 Receives reassigned benefits from 1 practitioner
Practice locations: Flushing, NY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1182211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303689600000",
    "number": "1790980738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14218 38TH AVE",
            "address_2": "SUITE #1B",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113545550",
            "telephone_number": "718-461-7700",
            "fax_number": "718-539-5175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14218 38TH AVE",
            "address_2": "SUITE #1B",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113545550",
            "telephone_number": "718-461-7700",
            "fax_number": "718-539-5175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YUN HEE CHUNG MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-19",
        "last_updated": "2011-04-25",
        "status": "A",
        "authorized_official_last_name": "CHUNG",
        "authorized_official_first_name": "YUN HEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-461-7700",
        "authorized_official_credential": "MD PC"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "NY",
            "license": "152818",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00828771",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2011; 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.