Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Charlecia Chung

Individual provider Family Nurse Practitioner · NPI 1912762600

Charlecia Chung is a Nurse Practitioner in White Plains, New York. Qualified in 2024, 2 years ago. Practices as a sole proprietor. Licensed in New York.

Years since qualifying
2
Licensed in
NY
In the registry since
2024
Specialties on file
2

Practice location Address checks out

1133 Westchester Ave
White Plains, NY 10604-3516
Phone: (212) 564-2350
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Nurse (primary) Taxonomy 163W00000X · Licence 782769-01 (NY)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence F353487-01 (NY)

Record details

NPI number1912762600
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedFebruary 21, 2024
Last updated in NPPESAugust 28, 2025
Certification dateAugust 28, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Accepts Medicare assignment Not indicated
Practice locations4 on file with Medicare

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