IVY CHUNG MD PC (NPI# 1225506058) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225506058 |
| Entity Type | Organization |
| Organization Name | IVY CHUNG MD PC |
| Practice Address |
25220 Northern Blvd Ste 202 Little Neck NY 11362 |
| Mailing Address |
25220 Northern Blvd Ste 202 Little Neck NY 11362-1344 |
| Practice Telephone | 3478368914 |
| Practice Fax Number | 3478354870 |
| Mailing Telephone | 3478368914 |
| Mailing Fax Number | 3478354870 |
| Enumeration Date | 2018-11-09 |
| Last Update Date | 2019-09-06 |
| Authorized Official Name | IVY CHUNG (PRESIDENT) |
| Authorized Official Telephone | 9172926971 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QA0505X |
Family Medicine Specialization: Adult Medicine |
Allopathic & Osteopathic Physicians |
| Street Address |
25220 NORTHERN BLVD STE 202 |
| City | LITTLE NECK |
| State | NY |
| Zip Code | 11362 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558896373 | Jehyun Woo | Acupuncturist | 25220 Northern Blvd Ste 202, Little Neck, NY 11362-1344 | 2017-04-30 |
| 1578175964 | Sungwhan Choi Physical Therapy P.C. | Clinic/Center | 25220 Northern Blvd Ste 202, Little Neck, NY 11362-1344 | 2020-08-18 |
| 1053940775 | Yt Tsao's Chiropractic P.C. | Chiropractor | 25220 Northern Blvd Ste 202, Little Neck, NY 11362-1344 | 2020-04-04 |
| 1376172270 | Woo Acupuncture PC | Acupuncturist | 25220 Northern Blvd Ste 202, Little Neck, NY 11362-1344 | 2020-04-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538776760 | Karen Rienzi | Occupational Therapist | 245-37 60th Avenue, Douglaston, NY 11362 | 2020-10-01 |
| 1780154773 | Assisted Development & Growth LLC | Early Intervention Provider Agency | 252-32 60th Avenue, Little Neck, NY 11362 | 2018-12-03 |
| 1326515560 | Gardenia Acupuncture | Acupuncturist | 253 W End Drive, Little Neck, NY 11362 | 2018-10-25 |
| 1275011330 | Erica Leia Hoffman | Community/Behavioral Health | Pride of Judea Community Services, 243-02 Northern Blvd., Douglaston, NY 11362 | 2018-08-01 |
| 1669990669 | Maria Kourounis | Social Worker | Pride of Judea Counseling Center -, 243-02 Northern Blvd., Douglaston, NY 11362 | 2017-08-30 |
| 1639696511 | Hyunyeul Cho | Acupuncturist | 58-17 255th St., Left, Little Neck, NY 11362 | 2017-08-23 |
| 1053837575 | Navarrete Dds Pllc | Dentist | 45-06 Little Neck Pkwy, Suite 204, Little Neck, NY 11362 | 2017-08-16 |
| 1912356155 | Esteer Khelea | Specialist | 24845 Cambria Ave, Little Neck, NY 11362 | 2016-06-08 |
| 1811395304 | Soyoung Lee Tung | Physical Therapist | 249-16 60th Ave, 1f, Little Neck, NY 11362 | 2014-12-15 |
| 1376969584 | Linette J Giuliano | Social Worker | 46-24 243rd Street, Douglaston, NY 11362 | 2014-03-12 |
| Find all providers in zip 11362 | ||||
| Taxonomy Code | 207QA0505X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Adult Medicine |
| Definition to come. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083220677 | Ellen Mcstravick | Family Medicine | 5530 Sheridan Dr Ste 2, Williamsville, NY 14221-3730 | 2020-09-18 |
| 1598384489 | Jimmy Gelin | Family Medicine | 18639 140th Ave, Springfield Gardens, NY 11413-2617 | 2020-04-11 |
| 1871145011 | Prince Aboagye Dankwah | Family Medicine | 157 Barnes Rd, Washingtonville, NY 10992-1931 | 2019-07-09 |
| 1194206441 | Madison Physician Practice PC | Family Medicine | 983 Park Ave # 1d, New York, NY 10028-0808 | 2018-08-24 |
| 1245717115 | Darlean James | Family Medicine | 183 Park St Ste 5678, Malone, NY 12953 | 2018-07-24 |
| 1609380617 | Donna Yu | Family Medicine | 6402 8th Ave Ste 301, Brooklyn, NY 11220-4720 | 2017-11-29 |
| 1720591688 | Jane S Ferraina | Family Medicine | 259 Boughton Hill Rd, Honeoye Falls, NY 14472-9706 | 2017-11-14 |
| 1245750918 | Long Island Nurse Practitioners | Family Medicine | 97 Ronni Dr, East Meadow, NY 11554-1330 | 2017-06-23 |
| 1548700925 | Special Medical PC | Family Medicine | 699 B Stanley Avenue, Brooklyn, NY 11207 | 2017-03-03 |
| 1043762404 | Ji Medical Group PC | Family Medicine | 3825 Parsons Blvd, Ste 1g, Flushing, NY 11354-5837 | 2016-11-01 |
| Find all providers with the same taxonomy | ||||
| City | LITTLE NECK |
| Zip Code | 11362 |
Please comment or provide details below to improve the information on IVY CHUNG MD PC.
| 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.