Individual provider Active NPI

Esther Junghae Sung, M.D.

  • Pediatrics Physician
  • Bayside, NY
National Provider Identifier
1053454520
Registry record updated Jul 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
202465 Issued in NY
Practice address
4223 212TH St
Bayside, NY 11361-2979
Phone
(718) 229-7337
Fax
(718) 229-7333
NPI assigned
Feb 15, 2007
Last updated
Jul 15, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 25MA07663400 NJ
Pediatrics Physician 208000000X 219571 MA
Pediatrics Physician 208000000X 202465 NY Primary

Addresses

Primary practice location

4223 212TH St
Bayside, NY 11361-2979

Mailing address

6702 230TH St
Bayside, NY 11364-2751
Phone (201) 270-7708

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
219571MAMDPediatrics Physician
25MA07663400NJMDPediatrics Physician
202465NYMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northwell Health Current Accepting new patients
Advocare, LLC Pediatrics Past Accepting new patients
Advocare , LLC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: esthersung@northwell.allscriptsdirect.net
  • Direct secure messaging: esung@np.pcc-direct.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1171497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657843200000",
    "number": "1053454520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6702 230TH ST",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "113642751",
            "telephone_number": "201-270-7708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4223 212TH ST",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "113612979",
            "telephone_number": "718-229-7337",
            "fax_number": "718-229-7333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUNG",
        "first_name": "ESTHER",
        "middle_name": "JUNGHAE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-15",
        "last_updated": "2022-07-15",
        "certification_date": "2022-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NJ",
            "license": "25MA07663400",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MA",
            "license": "219571",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "202465",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayside, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2022; 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.