Stefan Jung, MD
Individual provider Active NPI Emergency Medicine Physician · New York, NY
NPI 1114554383 · NPPES record last updated Jul 17, 2024
Key facts
- NPI
- 1114554383
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- License
- 329777 (NY)
- Practice address
- One Gustave Levy Place
New York, NY 10029 - Phone
- (212) 824-8069
- NPI assigned
- Mar 26, 2020
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 23
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Emergency Medicine
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Cep America LLC
Practice addresses (Care Compare)
801 S Main St
Clinton, IN 47842-2261
Phone (765) 832-1234
Hospital & facility affiliations
- Union Hospital Inc
- Union Hospital Clinton
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in NY, IN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240710001566 | NY | Practitioner - Emergency Medicine | 0749725158 | Reassigns benefits to 1 organization |
| I20240724002889 | IN | Practitioner - Emergency Medicine | 0749725158 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cep America LLC | Emergency Medicine | Current |
Accepting new patients |
| Cep America LLC | Emergency Medicine | Current | Accepting new patients |
| Union Hospital Inc. | Current | Accepting new patients | |
| Cep America LLC | Emergency Medicine | Current |
Accepting new patients |
| Physicians Medical Associates New York PC | Emergency Medicine | Current | Accepting new patients |
| Physicians Medical Associates New York PC | Emergency Medicine | Current |
Accepting new patients |
Locations
2100 Powell St
Ste 400
Emeryville, CA 94608
Phone (510) 350-2638
1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423
801 S Main St
Clinton, IN 47842
Phone (765) 832-1212
1606 N 7th St
Terre Haute, IN 47804
Phone (812) 238-7523
241 North Rd
Poughkeepsie, NY 12601
Phone (845) 431-8889
255 Lafayette Ave
Suffern, NY 10901
Phone (845) 357-7830
Interoperability endpoints
- sjung@unionhealth.cernerdirect.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 01093747A | IN | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Emergency Medicine Physician | 207P00000X | 329777 | NY | Yes |
Addresses
Primary practice location
One Gustave Levy Place
New York, NY 10029
Mailing address
1 Gustave Levy Place, Box 1149
New York, NY 10029
Other providers in New York, NY
- Robert Jung
- Seyoung Jung
- Sharon Jung
- Soh Ra Jung
- Soo Young Jung
- Sun Joo L. Jung
- Sunna Jung
- Yeonwoo Jung
- Yoo Jeong Jung
- Yooyeon Jung
All providers in New York, NY · Emergency Medicine Physician in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 17, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.