Joon Mo Myung, MD

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

7048348 Issued in NY

Practice address

15408 Northern Blvd
Suite 2K
Flushing, NY 11354-5040

Phone

(718) 445-0200

Fax

(718) 445-0200

NPI assigned

Dec 29, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

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

Specialty

Gastroenterology

Education

Other, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Myung Gastroenterology, P.C.Group PAC ID 5890979181, 2 clinicians

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

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.

• Myung Gastroenterology, P.C.

  • Gastroenterology Physician
  • Flushing, NY
  • NPI 1619271897
  Medicare reassignment Care Compare group NPD Authorized official
• Sterling Physicians

  • Anatomic Pathology & Clinical Pathology Physician
  • Flushing, NY
  • NPI 1275006025
  NPD Authorized official
• Joon Mo Myung LLC

  • Gastroenterology Physician
  • Westerville, OH
  • NPI 1790992600
  NPD (past) Authorized official
• Adena Medical Group LLC

  • Family Medicine Physician
  • Chillicothe, OH
  • NPI 1235468083
  NPD (past)
• Anjana Samadder MD Inc

  • Gastroenterology Physician
  • Columbus, OH
  • NPI 1891851382
  NPD (past)

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

{
    "created_epoch": "1167350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344816000000",
    "number": "1265598759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15408 NORTHERN BLVD",
            "address_2": "SUITE 2K",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113545040",
            "telephone_number": "718-445-0200",
            "fax_number": "718-445-0226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15408 NORTHERN BLVD",
            "address_2": "SUITE 2K",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113545040",
            "telephone_number": "718-445-0200",
            "fax_number": "718-445-0200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MYUNG",
        "first_name": "JOON",
        "middle_name": "MO",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-29",
        "last_updated": "2012-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "OH",
            "license": "84164",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NY",
            "license": "7048348",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Myeong R. Choi Acupuncture P.C.
• Chuhyun Jana Myong
• Myrtle Medical Equipment Inc
• John Clyde Mysliwiec, PA
• Myung Gastroenterology, P.C.
• Myungyoon Ny Physical Therapy PC
• Crystal NA
• Julia Nack, SLP
• Ruthlynne S Nack
• Vidhya Nadarajan, MD

• Gastroenterology Physician in Flushing, NY
• Providers in Flushing, NY by specialty
• Gastroenterology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2012; 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.