So Jung Ahn
Individual provider Active NPI Registered Nurse · New York, NY
NPI 1740171099 · NPPES record last updated Jul 14, 2025
Key facts
- NPI
- 1740171099
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 581586 (NY)
- Practice address
- 333 7TH Ave FL 18
New York, NY 10001-5086 - Phone
- (347) 279-8614
- NPI assigned
- Jul 14, 2025
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 581586 | NY | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 581586 | NY | Yes |
Addresses
Primary practice location
333 7TH Ave FL 18
New York, NY 10001-5086
Mailing address
333 7TH Ave FL 18
New York, NY 10001-5086
Phone (347) 279-8614
Other providers in New York, NY
- Jung Hwan Ahn
- Leah Y Ahn
- Linda Su Hyun Ahn
- Nancy Jiyoung Ahn
- Sarah Ahn
- Suchul Ahn
- Taemin Andrew Ahn
- Yoonjo Ahn
- Young Ahn
- Joanne Ahola
All providers in New York, NY · Registered Nurse in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 14, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.