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MARY CHONG
NPI 1104678051
Student in an Organized Health Care Education/Training Program in Baltimore, MD

Active since April 03, 2024PECOS Enrolled
5200 EASTERN AVE, BALTIMORE, MD 21224(667) 306-6540 Get Directions Write a Review

NPPES record last updated: April 3, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mary Chong NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARY CHONG (NPI 1104678051) is an individual student in an organized health care education/training program in Baltimore, Maryland and active in the NPI registry since April 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104678051
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameMARY CHONG
Location Address5200 EASTERN AVEBaltimore, MD 21224-2734
Mailing Address5200 Eastern AveBaltimore, MD 21224-2734
Phone(667) 306-6540
Sole ProprietorNo
Enumeration DateApril 3, 2024
NPPES CertifiedApril 3, 2024
✔ NPI 1104678051 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
5200 EASTERN AVE, Baltimore, MD 21224
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mary Chong is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JOHN ZIZZO
Student in an Organized Health Care Education/Training Program
5200 EASTERN AVE
BALTIMORE, MD 21224
Baltimore City (410) 550-0526
BRITTANY ADLER MD
Internal Medicine
5200 EASTERN AVE, CENTER TOWER, SUITE 4100
BALTIMORE, MD 21224
Baltimore City (410) 550-2044
ZACHARY WAYNE LORENZ MD
Internal Medicine
5200 EASTERN AVE
BALTIMORE, MD 21224
Baltimore City (410) 550-0526
DR. JANET WILLOUGHBY MAYNARD M.D.
Internal Medicine
5200 EASTERN AVE, MASON F. LORD BUILDING CENTER TOWER, SUITE 4100
BALTIMORE, MD 21224
Baltimore City (410) 614-3368
TAHREEM IQBAL MD
Hospitalist
5200 EASTERN AVE
BALTIMORE, MD 21224
Baltimore City (410) 550-5018
DR. KAVYA GORUKANTI M.D.
Hospitalist
5200 EASTERN AVE
BALTIMORE, MD 21224
Baltimore City (410) 550-0100
LUCY JANE DOOLEY MB BCH BAO
Student in an Organized Health Care Education/Training Program
5200 EASTERN AVE, MASON F FORD BUILDING
BALTIMORE, MD 21224
Baltimore City (410) 550-7162
KIMBERLEY CELESTE PALM PA-C
Physician Assistant
5200 EASTERN AVE
BALTIMORE, MD 21224
Baltimore City (410) 550-5018

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mary Chong's NPI number?

The NPI number for Mary Chong is 1104678051. It was assigned to this individual provider in the NPPES registry on April 3, 2024.

Where is Mary Chong located?

Mary Chong practices at 5200 Eastern Ave, Baltimore, MD 21224. The listed phone number is (667) 306-6540.

What is Mary Chong's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Mary Chong enrolled in Medicare?

Yes. Mary Chong is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mary Chong was last updated on April 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.