Active NPI
Eunice Y Jung, DDS
- Dentist
- Nesconset, NY
National Provider Identifier
1609385590
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 060816
- Practice address
- 239 Smithtown Blvd
Nesconset, NY 11767-2418 - Phone
- (631) 724-0094
- NPI assigned
- Sep 24, 2017
- 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 | 101763 | CA | |
| Dentist | 122300000X | 060816 | NY | Primary |
Addresses
Primary practice location
239 Smithtown Blvd
Nesconset, NY 11767-2418
Mailing address
211 Horseblock Rd
Farmingville, NY 11738-1236
Phone (530) 574-3053
Other practice location 1
1240 Scott Blvd
Santa Clara, CA 95050-4517
Phone (408) 246-0300
Other practice location 2
1879 Route 112
Coram, NY 11727-2256
Phone (631) 474-0410
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 |
|---|---|---|---|
| 101763 | CA | MD | Clinical Social Worker |
| 060816 | NY | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nesconset Dental Associates | Past | Accepting new patients | |
| Nesconset Dental Associates | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Customized Equipment (DME)
- Nesconset, NY
- NPI 1417452681
-
- General Practice Dentistry
- Nesconset, NY
- NPI 1528135639
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1506211200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1570579200000",
"number": "1609385590",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "211 HORSEBLOCK RD",
"city": "FARMINGVILLE",
"state": "NY",
"postal_code": "117381236",
"telephone_number": "530-574-3053"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "239 SMITHTOWN BLVD",
"city": "NESCONSET",
"state": "NY",
"postal_code": "117672418",
"telephone_number": "631-724-0094"
}
],
"practiceLocations": [
{
"address_1": "1240 Scott Blvd",
"address_purpose": "LOCATION",
"city": "Santa Clara",
"state": "CA",
"postal_code": "950504517",
"country_code": "US",
"telephone_number": "408-246-0300",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1879 Route 112",
"address_purpose": "LOCATION",
"city": "Coram",
"state": "NY",
"postal_code": "117272256",
"country_code": "US",
"telephone_number": "631-474-0410",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JUNG",
"first_name": "EUNICE",
"middle_name": "Y",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-09-24",
"last_updated": "2019-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "101763",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NY",
"license": "060816",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Nesconset, NY
- Island Sports Physical Therapy of Smithtown, P.C.
- James Pierre-Glaude Physical Therapy and Athletic Training SVCS, P.C. (James Pierre-Glaude Physical Therapy)
- Jennifer Jaquillard, RN
- Jared Caspe Physical Therapy PLLC
- Lucko Jean
- Kare Therapeutics PT PC (Life Strength Physical Therapy)
- Paige Suzanne Karras, PA-C
- Joanne M. Kechejian, M.D.
- Erica Elizabeth Kelty, RN
- Thomas Howard Keppler, DDS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.