A.H.Jung & C.S.Lee Medical Associates, PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

182552 Issued in NY

Legal business name

A.H.JUNG & C.S.LEE MEDICAL ASSOCIATES, PC

Practice address

4018 Murray St
Flushing, NY 11354-4934

Phone

(718) 461-6464

Fax

(718) 939-6464

NPI assigned

May 4, 2007

Organization subpart

No

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

Authorized official

Name

Anthony Higuk Jung, M.D.NPI 1144340225

Title

President

Phone

(718) 461-6464

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 3

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

• Anthony Higuk Jung, M.D

  • Endocrinology, Diabetes & Metabolism Physician
  • Flushing, NY
  • NPI 1144340225

  NY

  Medicare reassignment Care Compare group NPD Authorized official
• Andrew Jung, DO

  • Endocrinology, Diabetes & Metabolism Physician
  • Flushing, NY
  • NPI 1104387927

  NY

  Medicare reassignment Care Compare group
• Chang Suk Lee, M.D.

  • Internal Medicine Physician
  • Flushing, NY
  • NPI 1154417871

  Internal Medicine

  NPD (past)

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

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1372204800000",
    "number": "1457563355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4018 MURRAY ST",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113544934",
            "telephone_number": "718-461-6464",
            "fax_number": "718-939-6464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4018 MURRAY ST",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113544934",
            "telephone_number": "718-461-6464",
            "fax_number": "718-939-6464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A.H.JUNG & C.S.LEE MEDICAL ASSOCIATES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-04",
        "last_updated": "2013-06-26",
        "status": "A",
        "authorized_official_last_name": "JUNG",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "HIGUK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-461-6464",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "182552",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "G100007434",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• All providers in Flushing, NY
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2013; 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.