Juyeon Chung, PA-C
Physician Assistant, Surgical in New Haven, CT. Individual provider (NPI-1).
NPI number1669969077
StatusActive
Last updated in NPPESSep 10, 2024
Details
- NPI
- 1669969077
- Entity type
- Individual (NPI-1)
- Name
- Juyeon Chung
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 20, 2018
- Certification date
- Sep 10, 2024
- Last updated
- Sep 10, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - PHYSICIAN ASSISTANT
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363AS0400X | Physician Assistant, Surgical | 4073 | CT | Yes |
Practice location
20 York StNew Haven, CT 06510-3220
Phone 203-889-7283
Mailing address
11b Harbour VlgBranford, CT 06405-4492
Phone 224-522-9781
Other practice locations
85 Seymour St Ste 919
Hartford, CT 06106-5528
Hartford, CT 06106-5528
Phone 860-524-2727
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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