Active NPI
Hyo Jung
- Physical Therapist
- Valley Stream, NY
National Provider Identifier
1265342992
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- P127792
- Practice address
- 30 S Central Ave
Valley Stream, NY 11580-5437 - Phone
- (718) 280-1137
- Fax
- (646) 558-7529
- NPI assigned
- Sep 8, 2026
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | P127792 | NY | Primary |
Addresses
Primary practice location
30 S Central Ave
Valley Stream, NY 11580-5437
Mailing address
4025 74TH St
Elmhurst, NY 11373-5634
Phone (718) 280-1137
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1788825600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788825600000",
"number": "1265342992",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4025 74TH ST",
"city": "ELMHURST",
"state": "NY",
"postal_code": "113735634",
"telephone_number": "718-280-1137",
"fax_number": "646-558-7528"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30 S CENTRAL AVE",
"city": "VALLEY STREAM",
"state": "NY",
"postal_code": "115805437",
"telephone_number": "718-280-1137",
"fax_number": "646-558-7529"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JUNG",
"first_name": "HYO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2026-09-08",
"last_updated": "2026-09-08",
"certification_date": "2026-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": "NY",
"license": "P127792",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Valley Stream, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.