Organization Active NPI

New York Vein PC

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Lynbrook, NY
National Provider Identifier
1831477207
Registry record updated Aug 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
225794 Issued in NY
Legal business name
NEW YORK VEIN PC
Practice address
232 Merrick Rd
Lynbrook, NY 11563-2623
Phone
(800) 314-6004
Fax
(888) 224-3306
NPI assigned
Aug 2, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2011

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

Authorized official

Name
Dr. Hyunwood Chung, M.D.
Title
Owner/Doctor
Phone
(646) 321-4788

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208G00000X 225794 NY Primary

Addresses

Primary practice location

232 Merrick Rd
Lynbrook, NY 11563-2623

Mailing address

232 Merrick Rd
Lynbrook, NY 11563-2623
Phone (800) 314-6004

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120223000082 NY Part B Supplier - Clinic/Group Practice 6800054768 Receives reassigned benefits from 1 practitioner
Practice locations: Forest Hills, NY; Lynbrook, NY; Rego Park, NY

National Provider Directory

National Provider Directory

Locations

10818 72nd Ave
Forest Hills, NY 11375
Phone (212) 254-7588

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": "1312243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1312243200000",
    "number": "1831477207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "232 MERRICK RD",
            "city": "LYNBROOK",
            "state": "NY",
            "postal_code": "115632623",
            "telephone_number": "800-314-6004",
            "fax_number": "888-224-3306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "232 MERRICK RD",
            "city": "LYNBROOK",
            "state": "NY",
            "postal_code": "115632623",
            "telephone_number": "800-314-6004",
            "fax_number": "888-224-3306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW YORK VEIN PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-02",
        "last_updated": "2011-08-02",
        "status": "A",
        "authorized_official_last_name": "CHUNG",
        "authorized_official_first_name": "HYUNWOOD",
        "authorized_official_title_or_position": "OWNER/DOCTOR",
        "authorized_official_telephone_number": "646-321-4788",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "NY",
            "license": "225794",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynbrook, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 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.