Bokkwan Jun, M.D.

Primary specialty

Neuro-ophthalmology PhysicianTaxonomy code 207WX0109X

License

297533 Issued in NY

Practice address

15814 Northern Blvd
ML6
Flushing, NY 11358-1629

Phone

(919) 428-1621

NPI assigned

Jun 24, 2009

Sex

Male

Sole proprietor

No

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

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

Specialty

OphthalmologyAlso: Neurology

Education

Other, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H3359

Interoperability endpoints

• Direct secure messaging: bokkwan.jun.p1@direct.nynos.nextgenshare.com
• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

• Nynos P.C.

  • Neuro-ophthalmology Physician
  • Flushing, NY
  • NPI 1972235646
  Medicare reassignment NPD Authorized official
• Ophthalmic Consultants of Long Island

  • Ophthalmology Physician
  • Rockville Centre, NY
  • NPI 1285675660
  Medicare reassignment NPD

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

{
    "created_epoch": "1245801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687219200000",
    "number": "1124256581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15814 NORTHERN BLVD",
            "address_2": "STE ML06",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "11358",
            "telephone_number": "718-799-0302",
            "fax_number": "718-799-0442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15814 NORTHERN BLVD",
            "address_2": "ML6",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113581629",
            "telephone_number": "919-428-1621"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "30 Merrick Ave",
            "address_purpose": "LOCATION",
            "city": "East Meadow",
            "state": "NY",
            "postal_code": "11554",
            "country_code": "US",
            "telephone_number": "516-812-8678",
            "fax_number": "516-812-9213",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "30 Merrick Ave",
            "address_purpose": "LOCATION",
            "city": "East Meadow",
            "state": "NY",
            "postal_code": "11554",
            "country_code": "US",
            "telephone_number": "516-812-8678",
            "fax_number": "516-812-9213",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JUN",
        "first_name": "BOKKWAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-24",
        "last_updated": "2023-06-20",
        "certification_date": "2023-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207WX0109X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Neuro-ophthalmology",
            "state": "NY",
            "license": "297533",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "05458860",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jean-Marie Appolinaire Julien, PA
• Jumpstart Medical LLC
• Jun Lee PT, P.C
• Jun NP in Adult Health P.C.
• Jun Yang Kidney Care PC
• Meesuk Jun, ACUPUNCTURIST
• Jung Acupuncture P.C.
• Andrew Jung, DO
• Anthony Higuk Jung, M.D
• Brian Heesung Jung

• Neuro-ophthalmology Physician in Flushing, NY
• Providers in Flushing, NY by specialty
• Neuro-ophthalmology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2023; 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.
• 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.