Individual provider Active NPI

Roger Man Ning Chung, M.B.B.S.

  • Internal Medicine Physician
  • New York, NY
National Provider Identifier
1851459895
Registry record updated Feb 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
233595 Issued in NY
Practice address
139 Centre St
Suite 802
New York, NY 10013-4552
Phone
(212) 966-2818
Fax
(212) 966-2852
NPI assigned
Dec 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 233595 NY Primary

Addresses

Primary practice location

139 Centre St
Suite 802
New York, NY 10013-4552

Mailing address

139 Centre St
Suite 802
New York, NY 10013-4552
Phone (212) 966-2818

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051115001169 NY Practitioner - Internal Medicine 6901825256 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pinehurst Medical PCGroup PAC ID 0345429460, 2 clinicians

Practice addresses (Care Compare)

139 Centre St
Suite 802
New York, NY 10013-4558
Phone (212) 966-2818

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
233595NYMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Pinehurst Medical PC CurrentSince Mar 1, 2012 Accepting new patients
Ny Downtown Faculty Practice Opd Past Accepting new patients
Nydh Physician Practice Internal Medicine Past Accepting new patients
New York Downtown Medical Associates Internal Medicine Past Accepting new patients

Locations

139 Centre St
Ste 802
New York, NY 10013
Phone (212) 966-2812

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FJJABA/Endpoint/FJJABA
  • FHIR API: https://fhir4.healow.com/fhir/r4/FJJABA

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329264000000",
    "number": "1851459895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "139 CENTRE ST",
            "address_2": "SUITE 802",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100134552",
            "telephone_number": "212-966-2818",
            "fax_number": "212-966-2852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "139 CENTRE ST",
            "address_2": "SUITE 802",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100134552",
            "telephone_number": "212-966-2818",
            "fax_number": "212-966-2852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHUNG",
        "first_name": "ROGER",
        "middle_name": "MAN NING",
        "name_prefix": "Dr.",
        "credential": "M.B.B.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-04",
        "last_updated": "2012-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "233595",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.