Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1023505039 Individual Practitioner Female Practitioner

Dr. Kathleen Phung , MD

Pediatrics • Flushing, NY

Professional Overview & Biography Verified Profile Summary

Dr. Kathleen Phung, MD is a registered healthcare professional specializing in Pediatrics in Flushing, NY. Practice services are available at 13743 45TH AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

13743 45th Ave

Flushing, NY 113554048

Telephone 9293623006
Fax 9293623026
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Flushing, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 11.3 Yrs
State Avg: 24.1 Yrs
Regional Practice Density
112 Specialists

Practicing in Flushing, NY (6127 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2021-06-17
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License NY 311004

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID License
311004 (NY)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

30 Associated Practitioners
NPI 1023007622

Doctor of Medicine (M.D.)

Dr. Zu Chen , DO

Family Medicine

NPI 1023413747

Doctor of Osteopathic Medicine (D.O.)

Yating Zhao

Registered Nurse

NPI 1073000592
Katherine Wang

Registered Nurse

NPI 1083452593
Anjaly Sebastian , RN

Registered Nurse

NPI 1104492313

Registered Nurse

NPI 1114697505

REGISTEREDNURSE

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events
📍
Updated Practice Location June 28, 2021

Registered at 13743 45TH AVE, FLUSHING, NY 113554048 (Tel: 9293623006)

📍
Updated Business Mailing Address June 28, 2021

Registered at 125 WALKER ST FL 2, NEW YORK, NY 100134135 (Tel: 2122268866)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 28, 2021

Pediatrics (License #311004 in NY)

📍
Updated Business Mailing Address May 09, 2019

Registered at 424 E 34TH ST FL 8, NEW YORK, NY 100164901

NPI Profile Active April 16, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location April 16, 2018

Registered at 550 1ST AVE, NEW YORK, NY 100166402 (Tel: 2122635506)

📍
Updated Business Mailing Address April 16, 2018

Registered at 1440 E 96TH ST FL 1, BROOKLYN, NY 112365004

👤
Provider Name / Credentials Updated April 16, 2018

Recorded as KATHLEEN PHUNG, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 16, 2018

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration April 16, 2018

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1023505039
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 16, 2018
Last Update: June 28, 2021
Sole Proprietor: No

Mailing Address

125 Walker St Fl 2

New York, NY 100134135

Phone: 2122268866

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.