DR. JUSTIN JONGKYU CHUNG (NPI# 1396170916) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396170916 |
| Entity Type | Individual |
| Full Name | DR. JUSTIN JONGKYU CHUNG |
| Practice Address |
2603 213 Street Bayside NY 11360 |
| Mailing Address |
2603 213th St Bayside NY 11360-2532 |
| Practice Telephone | 9173248231 |
| Mailing Telephone | 9173248231 |
| Enumeration Date | 2013-09-13 |
| Last Update Date | 2013-09-13 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 058404 | NY | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497275697 | Justin David Chung | Dentist | 483 Middle Tpke W Ste 209, Manchester, CT 06040 | 2017-06-20 |
| 1467701599 | Justin I Chung | Dentist | 2044 Center Ave, Suite 2, Fort Lee, NJ 07024-4930 | 2012-09-05 |
| 1093905481 | Justin Tony Chung | Dentist | Unit 33301, Apo, AE 09012 | 2007-07-31 |
| 1295353118 | Justin Chung | Pharmacist | 1800 W Charleston Blvd, Las Vegas, NV 89102-2329 | 2020-07-07 |
| 1619407038 | Justin Chung | Behavior Technician | 17911 Sky Park Cir Ste E, Irvine, CA 92614-4303 | 2017-06-18 |
| 1346775418 | Justin Chung | Student in an Organized Health Care Education/Training Program | 525 E 68th St, New York, NY 10065-4870 | 2017-04-26 |
| Street Address |
2603 213 STREET |
| City | BAYSIDE |
| State | NY |
| Zip Code | 11360 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003446345 | Astride Mompremier | Behavior Technician | 214-10 24thavenue, Suite2, Bayside, NY 11360 | 2020-01-24 |
| 1992208144 | Accredited Dermatologic Surgery, PC | Clinic/Center | 23-83 Bell Blvd, Bayside, NY 11360 | 2018-03-14 |
| 1972041820 | Claudia Gina Block | Specialist | 1815 215 Street, Apt 9r, Bayside, NY 11360 | 2017-02-10 |
| 1720524358 | Ellen Tsang | Occupational Therapist | 215-26 23rd Road, Apt #1, Bay Terrace, NY 11360 | 2017-01-06 |
| 1982051082 | Sonya Sheppard | Registered Nurse | 29-01 216th St, St. Marys Community Care Professionals, Bayside, NY 11360 | 2016-05-18 |
| 1912364373 | Tiffany Ann Avon | Psychologist | 207-28 Jordan Drice, Bayside, NY 11360 | 2016-01-15 |
| 1992178925 | Ira Knobler | Behavioral Analyst | 15-50 212th St, Bayside, NY 11360 | 2015-11-13 |
| 1386028595 | Annalisa Macaluso | Nurse Practitioner | 20568 Brian Crescent, Bayside, NY 11360 | 2015-07-17 |
| 1821497728 | Arthur Ernest Schwartz | General Practice | 216-12 31st Road, Bayside, NY 11360 | 2014-08-15 |
| 1124448121 | Anne Chan-ly, Dds, Pllc | Clinic/Center | 208-54 Cross Island Parkway, Bayside, NY 11360 | 2014-04-17 |
| Find all providers in zip 11360 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659912442 | Katherine Cindy Hong | Pharmacist | 20206 Rocky Hill Rd Apt B1, Bayside, NY 11361-3008 | 2019-10-02 |
| 1881175826 | Eva Mui | Pharmacist | 212 Northern Blvd, Bayside, NY 11361 | 2018-08-28 |
| 1689154908 | Sunga Kwon | Pharmacist | 4625 215th St, Bayside, NY 11361-3345 | 2018-08-16 |
| 1659731958 | Amanda Ishak | Pharmacist | 1855 Corporal Kennedy St Apt 1d, Bayside, NY 11360-1459 | 2016-02-29 |
| 1194184507 | Eunji Oh | Pharmacist | 219-15 B Northern Blvd, Bayside, NY 11365-3647 | 2016-02-12 |
| 1841668514 | Meiyi Fu | Pharmacist | 21350 34th Rd Fl 2, Bayside, NY 11361-1708 | 2015-09-10 |
| 1760850887 | Sonya Kim | Pharmacist | 4731 216th St, 3d, Bayside, NY 11361-3419 | 2015-09-04 |
| 1891162616 | Rahisa Jamal | Pharmacist | 3608 205th St, Bayside, NY 11361-1236 | 2015-08-27 |
| 1306223979 | Jayoung Park | Pharmacist | 1612 Bell Blvd Fl 2, Bayside, NY 11360-1640 | 2015-05-02 |
| 1003208760 | Ok Chung | Pharmacist | 21012 39th Ave, 3 Floor, Bayside, NY 11361-1910 | 2015-03-04 |
| Find all providers in BAYSIDE | ||||
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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.