Individual provider Active NPI

John S Kung, M.D.

  • Specialist
  • Staten Island, NY
National Provider Identifier
1497857080
Registry record updated Jan 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
188163 Issued in NY
Practice address
23 Oceanic Ave
Staten Island, NY 10312-6511
Phone
(718) 648-8880
Fax
(718) 967-6040
NPI assigned
Sep 2, 2006
Last updated
Jan 8, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 188163 NY Primary

Addresses

Primary practice location

23 Oceanic Ave
Staten Island, NY 10312-6511

Mailing address

23 Oceanic Ave
Staten Island, NY 10312-6511
Phone (718) 648-8880

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, NY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20040915000125 NJ Practitioner - Ophthalmology 4789651597 Reassigns benefits to 2 organizations
I20111213000189 NY Practitioner - Ophthalmology 4789651597 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Icahn School of Medicine at Mount Sinai, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Academic Eye Center PAGroup PAC ID 4183691991, 3 clinicians
Staten Island Ophthalmology PCGroup PAC ID 3375434277, 5 clinicians

Practice addresses (Care Compare)

192 Summerhill Rd
East Brunswick, NJ 08816-4950
Phone (732) 257-4900

23 Oceanic Ave
Staten Island, NY 10312-6511
Phone (718) 948-8880

Merit-based Incentive Payment System (MIPS)

Final score
89.81 of 100Reported as group
Quality
100
Improvement activities
40
Cost
66.03

Merit-based Incentive Payment System (MIPS)

Final score
90.81 of 100Reported as group
Quality
100
Improvement activities
40
Cost
69.38

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery650

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Campus Eye Group, LLC Current Accepting new patients
Academic Eye Center, PA Past Accepting new patients
Academic Eye Center, PA Past Accepting new patients
Trustees of Columbia University in the City of New York Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: jkung@campuseye.intellechartdirect.net
  • Direct secure messaging: jkung@kung.intellechartdirect.net

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1157155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704672000000",
    "number": "1497857080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 OCEANIC AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103126511",
            "telephone_number": "718-648-8880",
            "fax_number": "718-967-6040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 OCEANIC AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103126511",
            "telephone_number": "718-648-8880",
            "fax_number": "718-967-6040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUNG",
        "first_name": "JOHN",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-02",
        "last_updated": "2024-01-08",
        "certification_date": "2024-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "188163",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

Verify at the official NPI Registry.