South Shore Head & Neck Surgery MD., PC.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

117557 Issued in NY

Legal business name

SOUTH SHORE HEAD & NECK SURGERY MD., PC.

Doing business as

Moo Young Jun, MD

Practice address

135 Rockaway Turnpike
Suite 106
Lawrence, NY 11559-1023

Phone

(516) 239-3225

Fax

(516) 764-3127

NPI assigned

Sep 26, 2012

Last updated

Sep 26, 2012By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Moo Young Jun, M.D.NPI 1336245604

Title

Owner

Phone

(516) 764-3732

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Moo Young Jun, MD Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Moo Young Jun, MD

  • Surgery Physician
  • Lawrence, NY
  • NPI 1336245604
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1348617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348617600000",
    "number": "1013268333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "132 SEAMAN AVENUE",
            "city": "ROCKVILLE CENTRE",
            "state": "NY",
            "postal_code": "115703233",
            "telephone_number": "516-764-3732",
            "fax_number": "516-764-3127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 ROCKAWAY TURNPIKE",
            "address_2": "SUITE 106",
            "city": "LAWRENCE",
            "state": "NY",
            "postal_code": "115591023",
            "telephone_number": "516-239-3225",
            "fax_number": "516-764-3127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH SHORE HEAD & NECK SURGERY MD., PC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-26",
        "last_updated": "2012-09-26",
        "status": "A",
        "authorized_official_last_name": "JUN",
        "authorized_official_first_name": "MOO YOUNG",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "516-764-3732",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NY",
            "license": "117557",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00218171",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Moo Young Jun, MD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mark Slamowitz, D.C.
• Shari L Slepoy, PSY.D.
• Neil Smith, M.D.
• Khalil Solaimanzadeh, MD
• South Island Gastroenterology Associates PC
• South Shore Pulmonary Medicine PC
• Eileen Ronnie Spector, M.S. SPECIAL EDUC
• Dominic Spera, M.D.
• Matteo Spera, M.D.
• Mark Sperber, M.D.

• Surgery Physician in Lawrence, NY
• Providers in Lawrence, NY by specialty
• Surgery Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.