Kyungsoon Kaylee Jung, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

F351707-01 Issued in NY

Practice address

4422 3Rd Ave
Bronx, NY 10457-2594

Phone

(718) 960-9000

NPI assigned

May 1, 2023

Last updated

Jun 19, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1682899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687132800000",
    "number": "1417645094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 RIDGE HILL BLVD UNIT 3H",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107107714",
            "telephone_number": "917-455-9771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4422 3RD AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104572594",
            "telephone_number": "718-960-9000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3250 Westchester Ave Ste 205",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "104614580",
            "country_code": "US",
            "telephone_number": "718-207-4348",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JUNG",
        "first_name": "KYUNGSOON",
        "middle_name": "KAYLEE",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-05-01",
        "last_updated": "2023-06-19",
        "certification_date": "2023-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NY",
            "license": "F351707-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Geena Jung
• Helen Sauhee Jung
• Ji Eun Jung, RN
• Jiyoung Jung, FNP
• Kathleen Jung, M.D.
• Sunkyo Jung
• Woochul Jung, L AC
• Yoojin Jung, PHARM.D.
• Rachel Jungreis
• Nofar Junik, M.S. CCC-SLP

• Nurse Practitioner in Bronx, NY
• Providers in Bronx, NY by specialty
• Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2023; 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.