Mingzer Tung, M.D.03

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

031833 Issued in CT

Practice address

49 Old Hawleyville Rd
Newtown, CT 06470-1216

Phone

(203) 426-4933

NPI assigned

Jan 20, 2007

Last updated

Jul 9, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1169251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1912050972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "49 OLD HAWLEYVILLE RD",
            "city": "NEWTOWN",
            "state": "CT",
            "postal_code": "064701216",
            "telephone_number": "203-426-4933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49 OLD HAWLEYVILLE RD",
            "city": "NEWTOWN",
            "state": "CT",
            "postal_code": "064701216",
            "telephone_number": "203-426-4933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUNG",
        "first_name": "MINGZER",
        "name_prefix": "Dr.",
        "credential": "M.D.03",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-20",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CT",
            "license": "031833",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "138337",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Family Medicine Physician in Newtown, CT
• Providers in Newtown, CT by specialty
• Family Medicine Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.

Verify at the official NPI Registry.