Sungjun Bae, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

032544-1 Issued in NY

Practice address

150 Broadhollow Rd Ste 316
Melville, NY 11747-4901

Phone

(347) 569-2107

NPI assigned

Jun 2, 2013

Sex

Male

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

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• BSJ Physical Therapy, P.C.

  • Rehabilitation Hospital Unit
  • Melville, NY
  • NPI 1497121917
  Medicare reassignment NPD Authorized official
• Bodyfirst Physical Therapy P.C.

  • Physical Therapist
  • Melville, NY
  • NPI 1356092837
  Medicare reassignment Authorized official
• SB Physical Therapy PC

  • Physical Therapist
  • Melville, NY
  • NPI 1043151806
  NPD Authorized official

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

{
    "created_epoch": "1370131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1710324660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 BROADHOLLOW RD STE 316",
            "city": "MELVILLE",
            "state": "NY",
            "postal_code": "117474901",
            "telephone_number": "347-569-2107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 BROADHOLLOW RD STE 316",
            "city": "MELVILLE",
            "state": "NY",
            "postal_code": "117474901",
            "telephone_number": "347-569-2107"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "750 Veterans Memorial Hwy Ste 103",
            "address_purpose": "LOCATION",
            "city": "Hauppauge",
            "state": "NY",
            "postal_code": "117882943",
            "country_code": "US",
            "telephone_number": "347-569-2107",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAE",
        "first_name": "SUNGJUN",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-06-02",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "032544-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "032544",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shirley Avila
• Elizabeth Ayala, LMSW
• Tia-Mimi Ba'Ana
• Jennifer-Rose Bach
• Aaliyah Francisca Backer
• Yolanda Baez Lora
• Angelika Baez
• Carlos Baez, RN
• Joanna Bak
• Tzipora Bak

• Physical Therapist in Melville, NY
• Providers in Melville, 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 Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.