NPIMap

Individual provider Active NPI

Richard Sun Jung, M.D.

  • Vascular Neurology Physician
  • Bay Shore, NY
National Provider Identifier
1477732477
Registry record updated Jul 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Neurology PhysicianTaxonomy code 2084V0102X
License
316974 Issued in NY
Practice address
270 E Main St
Bay Shore, NY 11706-8420
Phone
(631) 591-7450
NPI assigned
Oct 26, 2007
Last updated
Jul 25, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2024

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X 2013006676 MO
Neurology Physician 2084N0400X 316974 NY
Neurology Physician 2084N0400X 2013006676 MO
Vascular Neurology Physician 2084V0102X 2013006676 MO
Vascular Neurology Physician 2084V0102X 316974 NY Primary

Addresses

Primary practice location

270 E Main St
Bay Shore, NY 11706-8420

Mailing address

270 E Main St
Bay Shore, NY 11706-8420

Other identifiers 3

IdentifierTypeStateIssuer
1477732477MedicaidMO
2500017477OtherMOMO LICENSE
316974OtherNYNY LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, NY2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20170626002544 MD Practitioner - Neurology 6800062266 Reassigns benefits to 1 organization
I20220831000647 NY Practitioner - Neurology 6800062266 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
North Shore-Lij Medical PCGroup PAC ID 3375701568, 6,374 clinicians

Practice addresses (Care Compare)

301 E Main St
Bay Shore, NY 11706-8408
Phone (631) 968-3636

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.07 of 100Reported as apm
Quality
79.77
Promoting interoperability
88.77
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2013006676MOMDVascular Neurology Physician
316974NYMDVascular Neurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sinai Hospital of Baltimore Inc Current Accepting new patients
North Shore-Lij Medical PC Neurological Surgery CurrentSince Aug 1, 2022 Accepting new patients
Sinai Hospital of Baltimore, Inc. CurrentSince Jul 1, 2017 Accepting new patients
Sinai Hospital of Baltimore Inc CurrentSince Jul 1, 2017 Accepting new patients
North Shore - Lij Medical PC CurrentSince Aug 1, 2022 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Ozarks Medical Center Neurology Past Accepting new patients

Locations

2435 W Belvedere Ave
Ste 4
Baltimore, MD 21215
Phone (410) 601-5547

5051 Greenspring Ave
Baltimore, MD 21209
Phone (410) 601-1441

5051 Greenspring Ave
Ste 300
Baltimore, MD 21209
Phone (410) 601-1900

270 E Main St
Bay Shore, NY 11706
Phone (631) 591-7470

301 Montauk Hwy
Bay Shore, NY 11706
Phone (631) 630-3977

300 Community Dr
Manhasset, NY 11030

972 Brush Hollow Rd
Westbury, NY 11590

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: richard.jung@cernerdirect.coxhealth.com

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 10

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1193356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721865600000",
    "number": "1477732477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "270 E MAIN ST",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "117068420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "270 E MAIN ST",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "117068420",
            "telephone_number": "631-591-7450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUNG",
        "first_name": "RICHARD",
        "middle_name": "SUN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-10-26",
        "last_updated": "2024-07-25",
        "certification_date": "2024-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "MO",
            "license": "2013006676",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NY",
            "license": "316974",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "MO",
            "license": "2013006676",
            "primary": false
        },
        {
            "code": "2084V0102X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Vascular Neurology",
            "state": "MO",
            "license": "2013006676",
            "primary": false
        },
        {
            "code": "2084V0102X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Vascular Neurology",
            "state": "NY",
            "license": "316974",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1477732477",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MO LICENSE",
            "identifier": "2500017477",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NY LICENSE",
            "identifier": "316974",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bay Shore, NY

Sources for this page

Verify at the official NPI Registry.