Jung G Oh, MD

Primary specialty

Gynecology PhysicianTaxonomy code 207VG0400X

License

143070 Issued in NY

Practice address

2330 Union Blvd
Suite 1
Islip, NY 11751-3103

Phone

(631) 224-4811

Fax

(631) 224-4930

NPI assigned

Jul 21, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Networks

• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H3359

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

• Island Medical Services PC

  • Obstetrics & Gynecology Physician
  • Islip, NY
  • NPI 1962734392
  NPD (past) Authorized official

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1226448000000",
    "number": "1093736860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2330 UNION BLVD",
            "address_2": "SUITE 1",
            "city": "ISLIP",
            "state": "NY",
            "postal_code": "117513103",
            "telephone_number": "631-224-4811",
            "fax_number": "631-224-4930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2330 UNION BLVD",
            "address_2": "SUITE 1",
            "city": "ISLIP",
            "state": "NY",
            "postal_code": "117513103",
            "telephone_number": "631-224-4811",
            "fax_number": "631-224-4930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OH",
        "first_name": "JUNG",
        "middle_name": "G",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-21",
        "last_updated": "2008-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "NY",
            "license": "143070",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Next Generation Wellness Massage Therapy, PLLC
• Northland Hearing Centers, Inc. (Enhanced Hearing Systems)
• Catherine Julia Nunez
• Brenda Lynn O'Connell
• Oceana Device Corp
• Alexis Joan Ollendorf
• Maria Florencia Olsen
• Ryan Olsen
• Delaila Dulce Orama
• Carrie Anne Orencia, DC

• Gynecology Physician in Islip, NY
• Providers in Islip, NY by specialty
• Gynecology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.