Active NPI
Young Eun Jung, DDS
- Dentist
- New York, NY
National Provider Identifier
1548031032
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 000148
- Practice address
- 137 E 25TH St FL 6
New York, NY 10010-2340 - Phone
- (212) 998-9884
- NPI assigned
- Jan 12, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 0401418686 | VA | |
| Dentist | 122300000X | 000148 | NY | Primary |
Addresses
Primary practice location
137 E 25TH St FL 6
New York, NY 10010-2340
Mailing address
10 Waterside PLZ Apt 21C
New York, NY 10010-2605
Phone (415) 272-5810
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000148 | NY | MD | Marriage & Family Therapist |
| 0401418686 | VA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1705017600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1705017600000",
"number": "1548031032",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 WATERSIDE PLZ APT 21C",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100102605",
"telephone_number": "415-272-5810"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "137 E 25TH ST FL 6",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100102340",
"telephone_number": "212-998-9884"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JUNG",
"first_name": "YOUNG EUN",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-01-12",
"last_updated": "2024-01-12",
"certification_date": "2024-01-12",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "VA",
"license": "0401418686",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NY",
"license": "000148",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.