Josephine O Jung, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

199987 Issued in NY

Practice address

1575 Hillside Ave
302
New Hyde Park, NY 11040-2521

Phone

(516) 775-8000

Fax

(167) 775-8001

NPI assigned

Oct 17, 2005

Last updated

Sep 27, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Networks

• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H3359

Interoperability endpoints

• Direct secure messaging: joj9062@direct.nyp.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• I Care Medical PLLC

  • Pediatrics Physician
  • New Hyde Park, NY
  • NPI 1528589389
  NPD (past) Authorized official
• Chinatown True Care Medical PLLC

  • Internal Medicine Physician
  • New York, NY
  • NPI 1912567884

  Pediatrics

  NPD (past)

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

{
    "created_epoch": "1129507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632700800000",
    "number": "1689663353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1575 HILLSIDE AVE",
            "address_2": "302",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110402521",
            "telephone_number": "516-775-8000",
            "fax_number": "516-775-8001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1575 HILLSIDE AVE",
            "address_2": "302",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110402521",
            "telephone_number": "516-775-8000",
            "fax_number": "167-775-8001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUNG",
        "first_name": "JOSEPHINE",
        "middle_name": "O",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-10-17",
        "last_updated": "2021-09-27",
        "certification_date": "2021-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "199987",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01724047",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Angela Juliano, LMSW
• Christelle Julien, PT, DPT
• Julius W. Garvey, MD, PC
• Rahil Jummani, MD
• Hyewon Jung
• Wooram Florian Jung
• Julissa E Jurado, MD
• Ariel Jurmann, M.D.
• Karen McVay Juste
• K Mark Sossin PHD & Jan Charone-Sossin PHD, Clinical Psychologists PC

• Pediatrics Physician in New Hyde Park, NY
• Providers in New Hyde Park, NY by specialty
• Pediatrics Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.