Organization Active NPI

Sungil Hong Physical Therapy P.C.

  • Physical Therapist
  • Jamaica, NY
National Provider Identifier
1386188118
Registry record updated Dec 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
SUNGIL HONG PHYSICAL THERAPY P.C.
Practice address
16110 Jamaica Ave
Ste 301
Jamaica, NY 11432-6139
Phone
(929) 249-3700
Fax
(929) 295-7032
NPI assigned
Dec 13, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2016

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

Authorized official

Name
Dr. Sungil HongNPI 1144522038
Title
DPT
Phone
(718) 841-7392

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

16110 Jamaica Ave
Ste 301
Jamaica, NY 11432-6139

Mailing address

16110 Jamaica Ave
Ste 301
Jamaica, NY 11432-6139
Phone (929) 249-3700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170512001966 NY Part B Supplier - Physical/Occupational Therapy Group in Private Practice 1456638857 Receives reassigned benefits from 1 practitioner
Practice locations: Jamaica, NY

National Provider Directory

National Provider Directory

Locations

4234 Francis Lewis Blvd
Bsmt
Bayside, NY 11361

9033 Sutphin Blvd
Jamaica, NY 11435
Phone (714) 725-6680

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1481587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481587200000",
    "number": "1386188118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16110 JAMAICA AVE",
            "address_2": "STE 301",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114326139",
            "telephone_number": "929-249-3700",
            "fax_number": "929-295-7032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16110 JAMAICA AVE",
            "address_2": "STE 301",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114326139",
            "telephone_number": "929-249-3700",
            "fax_number": "929-295-7032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNGIL HONG PHYSICAL THERAPY P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-13",
        "last_updated": "2016-12-13",
        "status": "A",
        "authorized_official_last_name": "HONG",
        "authorized_official_first_name": "SUNGIL",
        "authorized_official_title_or_position": "DPT",
        "authorized_official_telephone_number": "718-841-7392",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jamaica, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.