Sukyong Jung, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

DS041369 Issued in PA

Practice address

1628 Spruce St Unit 1
Philadelphia, PA 19103-6732

Phone

(215) 735-8844

Fax

(215) 735-4685

NPI assigned

Jun 26, 2017

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Torresdale Dental Associates

  • General Practice Dentistry
  • Philadelphia, PA
  • NPI 1114052834
  NPD (past)

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

{
    "created_epoch": "1498435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668124800000",
    "number": "1154841500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1628 SPRUCE ST UNIT 1",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191036732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1628 SPRUCE ST UNIT 1",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191036732",
            "telephone_number": "215-735-8844",
            "fax_number": "215-735-4685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUNG",
        "first_name": "SUKYONG",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-26",
        "last_updated": "2022-11-11",
        "certification_date": "2020-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS041369",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hyunjoo Chang Jung, CRNP
• Joon H Jung, R.PH.
• Pius Seong Jung, O.D.
• So Young Jung, PHARMD
• Soo Y. Jung, MD
• Vicki Jung, PHARMD
• Wei Jonathan Jung, MBCHB, MSC
• Charles A Jungreis, MD
• Juniata Community Mental Health
• Janelle Sue Junkin, MA, MT-BC

• Dentist in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Dentist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 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.