Individual provider Active NPI

Erzsebet Jung, MD

  • Neonatal-Perinatal Medicine Physician
  • Saint Louis, MO
National Provider Identifier
1417919747
Registry record updated Oct 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neonatal-Perinatal Medicine PhysicianTaxonomy code 2080N0001X
License
MD 116175 Issued in MO
Practice address
621 S New Ballas Rd
Saint Louis, MO 63141-8241
Phone
(314) 251-5860
Fax
(314) 251-5861
NPI assigned
Apr 3, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neonatal-Perinatal Medicine Physician 2080N0001X MD 116175 MO Primary

Addresses

Primary practice location

621 S New Ballas Rd
Saint Louis, MO 63141-8241

Mailing address

735 Greenview Dr
Saint Louis, MO 63122-2023
Phone (314) 961-9632

Other practice location 1

411 E Chestnut St # 2
Louisville, KY 40202-1713
Phone (502) 588-0982

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20241202000320 KY Practitioner - Pediatric Medicine 4082878129 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD 116175MOMDNeonatal-Perinatal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Norton Children'S Medical Group, LLC CurrentSince Dec 23, 2024 Accepting new patients
Norton Children'S Medical Group, LLC CurrentSince Dec 23, 2024 Accepting new patients
Norton Children'S Medical Group, LLC Current Accepting new patients
Mercy Hospital South Past Accepting new patients
Mercy Hospitals East Communities Past Accepting new patients
Cartersville Medical Center LLC Past Accepting new patients

Locations

530 S Jackson St
Louisville, KY 40202
Phone (502) 562-3000

411 E Chestnut St
#2
Louisville, KY 40202
Phone (502) 588-0902

601 S Floyd St
Ste 604
Louisville, KY 40202
Phone (502) 559-1670

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1144022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730073600000",
    "number": "1417919747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "735 GREENVIEW DR",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631222023",
            "telephone_number": "314-961-9632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "621 S NEW BALLAS RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631418241",
            "telephone_number": "314-251-5860",
            "fax_number": "314-251-5861"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "411 E Chestnut St # 2",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402021713",
            "country_code": "US",
            "telephone_number": "502-588-0982",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JUNG",
        "first_name": "ERZSEBET",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-03",
        "last_updated": "2024-10-28",
        "certification_date": "2024-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080N0001X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Neonatal-Perinatal Medicine",
            "state": "MO",
            "license": "MD 116175",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.