Active NPI
Sun C. Tzeng, M.D.
- Family Medicine Physician
- Jersey City, NJ
National Provider Identifier
1891863676
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MA028148
- Practice address
- 172 Martin Luther King Jr Dr
Jersey City, NJ 07305-3309 - Phone
- (201) 432-8600
- Fax
- (201) 261-1627
- NPI assigned
- Dec 1, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MA028148 | NJ | Primary |
Addresses
Primary practice location
172 Martin Luther King Jr Dr
Jersey City, NJ 07305-3309
Mailing address
172 Martin Luther King Jr Dr
Jersey City, NJ 07305-3309
Phone (201) 432-8600
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3759105 | Medicaid | NJ |
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA028148 | NJ | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164931200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1891863676",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "172 MARTIN LUTHER KING JR DR",
"city": "JERSEY CITY",
"state": "NJ",
"postal_code": "073053309",
"telephone_number": "201-432-8600",
"fax_number": "201-261-1627"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "172 MARTIN LUTHER KING JR DR",
"city": "JERSEY CITY",
"state": "NJ",
"postal_code": "073053309",
"telephone_number": "201-432-8600",
"fax_number": "201-261-1627"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TZENG",
"first_name": "SUN",
"middle_name": "C.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-01",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NJ",
"license": "MA028148",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3759105",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Jersey City, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.