Connie Sehee Jung, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

022373 Issued in NY

Practice address

2703 42ND Rd Apt 17B
Long Island City, NY 11101-4138

Phone

(714) 515-2378

NPI assigned

Apr 23, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Specialty

Occupational Therapist in Private Practice

Education

Other, 2018

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1524441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524441600000",
    "number": "1013405232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2703 42ND RD APT 17B",
            "city": "LONG ISLAND CITY",
            "state": "NY",
            "postal_code": "111014138",
            "telephone_number": "714-515-2378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2703 42ND RD APT 17B",
            "city": "LONG ISLAND CITY",
            "state": "NY",
            "postal_code": "111014138",
            "telephone_number": "714-515-2378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUNG",
        "first_name": "CONNIE",
        "middle_name": "SEHEE",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-04-23",
        "last_updated": "2018-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "022373",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HX0007011522",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Harry T Josifidis
• Farhana Yasmin Jui, OD
• Jordan Jules
• Michael Juli, LCSW
• Kimberly Julien
• David Kun Ho Jung, DPT
• Jenna Hyeonsoo Jung, MD
• Jeremiah Edillor Juson, DMD
• Just a Moment Car Service Inc
• Jahanara Juthe

• Occupational Therapist in Long Island City, NY
• Providers in Long Island City, NY by specialty
• Occupational Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.