Active NPIOrganization

Dr Chung Medical Clinic P C

Internal Medicine in Palisades Park, New Jersey

NPI Number1902069925
Practice location
11 E Harwood Ter, Palisades Park, NJ 07650-1424
Fax
201-941-4157
Last updated
July 9, 2008

Dr Chung Medical Clinic P C is a healthcare organization based in Palisades Park, NJ. Dr Chung Medical Clinic P C practices in Palisades Park, NJ. The NPI Number for Dr Chung Medical Clinic P C is 1902069925 and holds a License No. 25MA5927500 (NJ). The current practice location address for Dr Chung Medical Clinic P C is 11 E Harwood Ter, Palisades Park, NJ 07650-1424 and can be reached out via phone at 201-313-1500 and via fax at 201-941-4157.

Provider Profile Details

NPI Number
1902069925
Provider Name
Dr Chung Medical Clinic P C
Provider Entity Type
Organization
Address
11 E Harwood Ter, Palisades Park, NJ 07650-1424
Phone Number
201-313-1500
Fax Number
201-941-4157
Primary Taxonomy
Internal Medicine · 207R00000X
Organization Subpart
No
Authorized Official
Haeyang Chung, MD · President · 201-313-1500
Provider Enumeration Date
July 9, 2008
Last Update Date
July 9, 2008
NPI Status
Active

Provider Business Practice Location Address Details

Address
11 E Harwood Ter
Palisades Park, NJ 07650-1424
Zip
07650-1424
Phone Number
201-313-1500
Fax Number
201-941-4157
Palisades Park, NJ 07650Get directions →

Provider Business Mailing Address Details

Address
11 E Harwood Ter
Palisades Park, NJ 07650-1424
City
Palisades Park
State
NJ
Zip
07650-1424
Phone Number
201-313-1500
Fax Number
201-941-4157

License Information

License Number (1)
25MA5927500
License State (1)
NJ
Taxonomy (1)
Pediatrics · 208000000X
License Number (2)
25MA5927500
License State (2)
NJ
Taxonomy (2)
Internal Medicine · 207R00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr Chung Medical Clinic P C?

The NPI number of Dr Chung Medical Clinic P C is 1902069925. It was assigned on July 9, 2008 and is currently active in the NPPES registry.

What is the specialty of Dr Chung Medical Clinic P C?

Dr Chung Medical Clinic P C is registered under the primary taxonomy Internal Medicine (code 207R00000X), licensed in NJ under license number 25MA5927500.

Where does Dr Chung Medical Clinic P C practice?

The practice location is 11 E Harwood Ter, Palisades Park, NJ 07650-1424. The office can be reached at 201-313-1500 (phone) or 201-941-4157 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1902069925 directly on the NPPES registry website.

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