Active NPI
Esther Junghae Sung, M.D.
- Pediatrics Physician
- Bayside, NY
National Provider Identifier
1053454520
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 202465
- 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, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 219571 | MA | MD | Pediatrics Physician |
| 25MA07663400 | NJ | MD | Pediatrics Physician |
| 202465 | NY | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northwell Health | Current | Accepting new patients | |
| Advocare, LLC | Pediatrics | Past | Accepting new patients |
| Advocare , LLC | Past | Accepting new patients |
Interoperability endpoints
- esthersung@northwell.allscriptsdirect.net
- 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.
-
- Rehabilitation Hospital Unit
- Glen Cove, NY
- NPI 1619336260
-
dba Advocare Berlin Medical Associates (DME)
- Internal Medicine Physician
- Manahawkin, NJ
- NPI 1912762162
-
dba Advocare Cornerstone Pediatrics
- Pediatrics Physician
- Haddon Heights, NJ
- NPI 1902817257
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.