Myung Gastroenterology, P.C.

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

256592-1 Issued in NY

Legal business name

MYUNG GASTROENTEROLOGY, P.C.

Practice address

15408 Northern Blvd
Suite 2K
Flushing, NY 11354-5040

Phone

(718) 445-0200

NPI assigned

Jan 3, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Joon Mo Myung, MDNPI 1265598759

Title

Owner

Phone

(718) 445-0200

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.

• Joon Mo Myung, MD

  • Gastroenterology Physician
  • Flushing, NY
  • NPI 1265598759
  Medicare reassignment Care Compare group NPD Authorized official
• Liying Han, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Valhalla, NY
  • NPI 1750502589
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1294012800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294012800000",
    "number": "1619271897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15408 NORTHERN BLVD",
            "address_2": "SUITE 2K",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113545040",
            "telephone_number": "718-445-0200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15408 NORTHERN BLVD",
            "address_2": "SUITE 2K",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113545040",
            "telephone_number": "718-445-0200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MYUNG GASTROENTEROLOGY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-03",
        "last_updated": "2011-01-03",
        "status": "A",
        "authorized_official_last_name": "MYUNG",
        "authorized_official_first_name": "JOON",
        "authorized_official_middle_name": "MO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-445-0200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NY",
            "license": "256592-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Julia Nack, SLP
• Ruthlynne S Nack

• Gastroenterology Physician in Flushing, NY
• Providers in Flushing, NY by specialty
• Gastroenterology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2011; 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.