JEFFREY Y H CHUNG LLC (NPI# 1093178923) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093178923 |
| Entity Type | Organization |
| Organization Name | JEFFREY Y H CHUNG LLC |
| Practice Address |
14201 Laurel Park Dr Ste 104 Laurel MD 20707-5203 |
| Mailing Address |
311 Park Place Blvd Fl 5 Clearwater FL 33759-4904 |
| Practice Telephone | 7277550693 |
| Enumeration Date | 2016-03-29 |
| Last Update Date | 2016-03-29 |
| Authorized Official Name | ARIANA BEDOYA (CREDENTIALING MANAGER) |
| Authorized Official Telephone | 7277550693 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332900000X | Non-Pharmacy Dispensing Site | D67554 | MD | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 418338000 | 05 |
| Street Address |
14201 LAUREL PARK DR STE 104 |
| City | LAUREL |
| State | MD |
| Zip Code | 20707-5203 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376157156 | Mini'imah Wilson | Social Worker | 15041 Cherrywood Dr, Laurel, MD 20707 | 2020-08-31 |
| 1548893985 | Ernest Freeman | Clinic/Center | 367 Main St., Laurel, Laurel, MD 20707 | 2020-02-13 |
| 1538701859 | Family Health and Wellness Clinic LLC | Clinic/Center | 324 Main St. #523, Laurel, MD 20707 | 2019-10-09 |
| 1467018226 | Leena Daniel | Nurse Practitioner | 13 C Street, Suite D, Laurel, MD 20707 | 2019-05-16 |
| 1538723143 | Florence Okojie | Nurse Practitioner | 13 C St Ste G, Laurel, MD 20707 | 2019-04-29 |
| 1487148631 | Munsha Sidhu Chadha | Dentist | 595 Main St Ste 237, Laurel, MD 20707 | 2018-06-20 |
| 1568953370 | Carleen Graham Schwimmer | Clinical Neuropsychologist | Veterans Affairs War Related Illness & Injury (wriisc), 50 Irving Street Nw, Washington, MD 20707 | 2018-05-29 |
| 1043709637 | Bk Behavioral Health Center | Behavior Technician | 14300 Cherry Lane Ct Ste 202-203, Laurel, MD 20707 | 2018-05-09 |
| 1053800839 | Bk Behaviorial Health Center | Substance Abuse Rehabilitation Facility | 14300 Cherry Lane Court, Suite 202-203, Laurel, MD 20707 | 2018-05-07 |
| 1316435795 | Laurel Pharmacy II LLC | Pharmacy | 14402 Baltimore Ave, Laurel, MD 20707 | 2018-05-01 |
| Find all providers in zip 20707 | ||||
| Taxonomy Code | 332900000X |
| Grouping | Suppliers |
| Classification | Non-Pharmacy Dispensing Site |
| A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053469619 | Patient First | Non-Pharmacy Dispensing Site | 3357 B Corridor Mkt Place, Laurel, MD 20724 | 2007-01-08 |
| 1497147557 | Laurel Foot and Ankle Center | Non-Pharmacy Dispensing Site | 14440 Cherry Lane Ct, Suite 101, Laurel, MD 20707-4946 | 2015-02-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144864489 | Welldoc, Inc. | Non-Pharmacy Dispensing Site | 10221 Wincopin Cir Ste 150, Columbia, MD 21044-3444 | 2019-10-30 |
| 1619444213 | Center for Pain Management LLC | Non-Pharmacy Dispensing Site | 940 Seton Dr Ste A, Cumberland, MD 21502-1871 | 2018-11-01 |
| 1518434117 | Center for Pain Management LLC | Non-Pharmacy Dispensing Site | 8455 Colesville Road, Suite 200, Silver Spring, MD 20910 | 2018-11-01 |
| 1003383720 | Center for Pain Management LLC | Non-Pharmacy Dispensing Site | 6820 Hospital Dr Ste 302, Baltimore, MD 21237-4362 | 2018-10-31 |
| 1003383654 | Center for Pain Management LLC | Non-Pharmacy Dispensing Site | 1838 Greene Tree Rd Ste 150, Pikesville, MD 21208-7100 | 2018-10-31 |
| 1629545272 | Center for Pain Management LLC | Non-Pharmacy Dispensing Site | 510 Upper Chesapeake Dr Ste 415, Bel Air, MD 21014-4336 | 2018-10-31 |
| 1144744707 | Patient First Maryland Medical Group Pllc | Non-Pharmacy Dispensing Site | 6201 Annapolis Road, Landover Hills, MD 20784 | 2017-07-26 |
| 1922469865 | Choice Pain & Rebabilitation Center LLC | Non-Pharmacy Dispensing Site | 5102 Cornelias Prospect Dr, Bowie, MD 20720-3375 | 2016-03-18 |
| 1871967414 | Annapolis Foot and Ankle Center | Non-Pharmacy Dispensing Site | 130 Love Point Rd Ste 103, Stevensville, MD 21666-2132 | 2015-11-19 |
| 1417330754 | Welgo | Non-Pharmacy Dispensing Site | 4572 Beech Rd, Temple Hills, MD 20748-6704 | 2015-07-06 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.