Junho Jung, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

051040 Issued in NY

Practice address

1550 Lemoine Ave Ste 203
Fort Lee, NJ 07024-5608

Phone

(201) 625-3210

Fax

(201) 947-2909

NPI assigned

Mar 19, 2007

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553644800000",
    "number": "1295859718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1550 LEMOINE AVE STE 203",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "070245608",
            "telephone_number": "201-625-3210",
            "fax_number": "518-537-6334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1550 LEMOINE AVE STE 203",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "070245608",
            "telephone_number": "201-625-3210",
            "fax_number": "201-947-2909"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11 Crum Elbow Rd",
            "address_purpose": "LOCATION",
            "city": "Hyde Park",
            "state": "NY",
            "postal_code": "125382852",
            "country_code": "US",
            "telephone_number": "845-229-6288",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JUNG",
        "first_name": "JUNHO",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-19",
        "last_updated": "2019-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "051040",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02634917",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nicholas Jovic, PT
• Jessica Jozefiak
• JPW Dental LLC
• Jaehyung Jun, RPH
• Sohyoun Jun, DMD
• Kyung Sil Jung, PHD
• Junior Eagle Corporation
• Francoise Juste, RN, DNP
• K & S Drug & Surgical Inc
• Richard Mark Kagan, DDS

• General Practice Dentistry in Fort Lee, NJ
• Providers in Fort Lee, NJ by specialty
• General Practice Dentistry in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2019; 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.