Active NPI
David Kun Ho Jung, DPT
- Physical Therapist
- Long Island City, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 042140-1
- Practice address
- 2420 Jackson Ave Ste 205
Long Island City, NY 11101-4332 - Phone
- (347) 561-8002
- NPI assigned
- Aug 30, 2017
- Sex
- Male
- Sole proprietor
- No
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 | 042140-1 | NY | Primary |
Addresses
Primary practice location
2420 Jackson Ave Ste 205
Long Island City, NY 11101-4332
Mailing address
543 48TH Ave Apt 5E
Long Island City, NY 11101-5931
Phone (213) 393-0099
Other practice location 1
51 Nassau Ave Ste 1C
Brooklyn, NY 11222-3170
Phone (347) 561-8002
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 042140-1 | NY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kellen Ryan Scantlebury Physical Therapy PLLC | Physical Therapist | Current | Accepting new patients |
| Lion Physical Therapy PLLC | Current | Accepting new patients |
Locations
51 Nassau Ave
Ste 1C
Brooklyn, NY 11222
Phone (347) 561-8002
2420 Jackson Ave
Ste 205
Long Island City, NY 11101
Phone (347) 561-8002
153 W 27th St
Ste 1204
New York, NY 10001
Phone (646) 875-8348
Organizations & group practices 2
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.
-
- Physical Therapy Clinic/Center
- Long Island City, NY
- NPI 1225639842
-
- Physical Therapy Clinic/Center
- Astoria, NY
- NPI 1659148807
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1504051200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1669248000000",
"number": "1306363312",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "543 48TH AVE APT 5E",
"city": "LONG ISLAND CITY",
"state": "NY",
"postal_code": "111015931",
"telephone_number": "213-393-0099"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2420 JACKSON AVE STE 205",
"city": "LONG ISLAND CITY",
"state": "NY",
"postal_code": "111014332",
"telephone_number": "347-561-8002"
}
],
"practiceLocations": [
{
"address_1": "51 Nassau Ave Ste 1C",
"address_purpose": "LOCATION",
"city": "Brooklyn",
"state": "NY",
"postal_code": "112223170",
"country_code": "US",
"telephone_number": "347-561-8002",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JUNG",
"first_name": "DAVID",
"middle_name": "KUN HO",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-08-30",
"last_updated": "2022-11-24",
"certification_date": "2022-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "042140-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Long Island City, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 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.