Active NPI
Hyun Jin Jun, P.T.
- Physical Therapist
- Woodside, NY
National Provider Identifier
1629488192
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 031403
- Practice address
- 3959 58TH St
# 2F
Woodside, NY 11377-3351 - Phone
- (347) 631-1350
- NPI assigned
- May 5, 2014
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 031403 | NY | Primary |
Addresses
Primary practice location
3959 58TH St
# 2F
Woodside, NY 11377-3351
Mailing address
3959 58TH St
# 2F
Woodside, NY 11377-3351
Phone (347) 631-1350
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 031403 | NY | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wellness Medical of Corona PC | Past | Accepting new patients | |
| Ysj Physical Therapy PC | Physical Therapist | 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.
-
- Family Medicine Physician
- Corona, NY
- NPI 1336516210
-
- Physical Therapist
- Bronx, NY
- NPI 1023489754
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1399248000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1401926400000",
"number": "1629488192",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3959 58TH ST",
"address_2": "# 2F",
"city": "WOODSIDE",
"state": "NY",
"postal_code": "113773351",
"telephone_number": "347-631-1350"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3959 58TH ST",
"address_2": "# 2F",
"city": "WOODSIDE",
"state": "NY",
"postal_code": "113773351",
"telephone_number": "347-631-1350"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JUN",
"first_name": "HYUN JIN",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-05-05",
"last_updated": "2014-06-05",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "031403",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Woodside, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.