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CHUNGDAM WELLNESS GROUP,INC
NPI 1730463183
Clinic/Center - Primary Care in New York, NY

Active since October 04, 2011
315 5TH AVE STE 1001, NEW YORK, NY 10016(212) 685-1004(212) 685-1007 Get Directions Write a Review

NPPES record last updated: October 4, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Chungdam Wellness Group,inc NPPES

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

CHUNGDAM WELLNESS GROUP,INC (NPI 1730463183) is a healthcare organization registered as a primary care in New York, New York and active in the NPI registry since October 2011. The organization lists Lisa Persaud, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1730463183
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameCHUNGDAM WELLNESS GROUP,INC
Location Address315 5TH AVE STE 1001New York, NY 10016-6510
Mailing Address315 5th Ave Ste 1001New York, NY 10016-6510 · (212) 685-1004 · Fax (212) 685-1007
Phone(212) 685-1004
Fax(212) 685-1007
Organization SubpartNo
Authorized OfficialLisa PersaudMedical Director · (212) 685-1004
Enumeration DateOctober 4, 2011
✔ NPI 1730463183 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License✔ Licensed in NY · 254812
Also ListedClinic/Center · Health ServiceTaxonomy 261QH0100X · License 004553 (NY)
Also ListedClinic/Center · Physical TherapyTaxonomy 261QP2000X · License 032406 (NY)
315 5TH AVE STE 1001, New York, NY 10016
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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 Chungdam Wellness Group,inc's NPI number?

The NPI number for Chungdam Wellness Group,inc is 1730463183. It was assigned to this organization in the NPPES registry on October 4, 2011.

Where is Chungdam Wellness Group,inc located?

Chungdam Wellness Group,inc is located at 315 5th Ave Ste 1001, New York, NY 10016. The listed phone number is (212) 685-1004.

What is Chungdam Wellness Group,inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for Chungdam Wellness Group,inc was last updated on October 4, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.