Individual provider Active NPI

Jaemyoung Sung

  • Student in an Organized Health Care Education/Training Program
  • New Orleans, LA
National Provider Identifier
1801590088
Registry record updated Jun 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Practice address
131 S Robertson St # 8069
New Orleans, LA 70112-2807
Phone
(504) 988-5314
Fax
(504) 988-3971
NPI assigned
Mar 30, 2023
Last updated
Jun 17, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Primary

Addresses

Primary practice location

131 S Robertson St # 8069
New Orleans, LA 70112-2807

Mailing address

131 S Robertson St # 8069
New Orleans, LA 70112-2807
Phone (504) 988-5314

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230629001952 LA Order and Referring Only - OphthalmologyPractitioner - Internal MedicinePractitioner - Ophthalmology 8729447321

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1680134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718582400000",
    "number": "1801590088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 S ROBERTSON ST # 8069",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701122807",
            "telephone_number": "504-988-5314",
            "fax_number": "504-988-3971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 S ROBERTSON ST # 8069",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701122807",
            "telephone_number": "504-988-5314",
            "fax_number": "504-988-3971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUNG",
        "first_name": "JAEMYOUNG",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-03-30",
        "last_updated": "2024-06-17",
        "certification_date": "2024-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Orleans, LA

Sources for this page

Verify at the official NPI Registry.