Jung Physical Therapy PC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

JUNG PHYSICAL THERAPY PC

Practice address

4502 Ditmars Blvd Apt 218
Astoria, NY 11105-1348

Phone

(646) 532-7746

NPI assigned

Aug 24, 2022

Last updated

Aug 24, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Soojung JungNPI 1518583103

Title

President

Phone

(646) 532-7746

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Soojung Jung

  • Physical Therapist
  • Brooklyn, NY
  • NPI 1518583103
  Medicare reassignment NPD Authorized official
• Yiseal Hyun, PTA

  • Physical Therapist
  • Brooklyn, NY
  • NPI 1578327979
  NPD (past)

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

{
    "created_epoch": "1661299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661299200000",
    "number": "1568181402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4502 DITMARS BLVD APT 218",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111051348",
            "telephone_number": "646-532-7746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4502 DITMARS BLVD APT 218",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111051348",
            "telephone_number": "646-532-7746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUNG PHYSICAL THERAPY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-24",
        "last_updated": "2022-08-24",
        "certification_date": "2022-08-24",
        "status": "A",
        "authorized_official_last_name": "JUNG",
        "authorized_official_first_name": "SOOJUNG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "646-532-7746"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• JP RX Ny Inc
• Juan Vaillant Medical PLLC
• Amanda Edid Juca Cardona
• Bernalyn Judan, M.S., OTR/L
• Kalamodeen Juman, DDS
• Suji Jung
• Sungmi Jung
• Fariha Kabir
• Charlie Dean Kadan, LCSW
• Tanvir K Kahlon, M.D.

• Physical Therapist in Astoria, NY
• Providers in Astoria, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2022; 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.