Active NPI
William Chong, MD
- Internal Medicine Physician
- Philadelphia, PA
National Provider Identifier
1811199177
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- MD434308
- Practice address
- 833 Chestnut St
Ste 701
Philadelphia, PA 19107-4414 - Phone
- (215) 955-6180
- Fax
- (215) 955-6410
- NPI assigned
- May 31, 2007
- Last updated
- Oct 27, 2008
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MD434308 | PA | Primary |
Addresses
Primary practice location
833 Chestnut St
Ste 701
Philadelphia, PA 19107-4414
Mailing address
615 Chestnut St.
14TH Floor
Philadelphia, PA 19107
Phone (325) 955-9628
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180569600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1225065600000",
"number": "1811199177",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "615 CHESTNUT ST.",
"address_2": "14TH FLOOR",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "19107",
"telephone_number": "325-955-9628",
"fax_number": "215-955-2420"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "833 CHESTNUT ST",
"address_2": "STE 701",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191074414",
"telephone_number": "215-955-6180",
"fax_number": "215-955-6410"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHONG",
"first_name": "WILLIAM",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-31",
"last_updated": "2008-10-27",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "PA",
"license": "MD434308",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
- Chalatip Chompunud NA Ayudhya, D.D.S.
- Grace Eunbin Chon, MD
- Yoo Yuong Chon, PA-C
- Elise A Chong, MD
- Julia Nealon Chong, PAC
- Yew Lam Chong, MBBS, MRCS
- Melissa D Chonofsky, MS CCC/SLP
- Chop -Children's Health Care Associates
- Chop Behavioral Health (CHOP Clinical Associates)
- Chop Clinical Associates (Specialty Care Center in Princeton)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.