Healthcare Provider Details

I. General information

NPI: 1932152261
Provider Name (Legal Business Name): CINDY WEI TUNG MD
Entity Type: Individual
Gender: Female
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 05/18/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

370 GRAND AVENUE SUITE 203
ENGLEWOOD NJ
07631
US

IV. Provider business mailing address

370 GRAND AVENUE SUITE 203
ENGLEWOOD NJ
07631
US

V. Phone/Fax

Practice location:
  • Phone: 201-568-3262
  • Fax: 201-569-2634
Mailing address:
  • Phone: 201-568-3262
  • Fax: 201-569-2634

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number25MA07429000
License Number StateNJ
# 2
Primary TaxonomyY
Taxonomy Code2080A0000X
TaxonomyPediatric Adolescent Medicine Physician
License Number25MA07429000
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: