Active NPI
Edward L Sung, M.D.
- Obstetrics & Gynecology Physician
- Pomona, NJ
National Provider Identifier
1821004011
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- MA029589
- Practice address
- 72 Jim Leeds Rd
Stockton Medical Building
Pomona, NJ 08240-0836 - Phone
- (609) 652-6600
- Fax
- (609) 652-1267
- NPI assigned
- Jul 31, 2006
- Last updated
- Feb 15, 2008
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | MA029589 | NJ | Primary |
Addresses
Primary practice location
72 Jim Leeds Rd
Stockton Medical Building
Pomona, NJ 08240-0836
Mailing address
PO Box 386
Linwood, NJ 08221-0386
Phone (609) 652-6600
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA029589 | NJ | MD | Obstetrics & Gynecology Physician |
Organizations & group practices 1
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.
-
- Clinic/Center
- Pomona, NJ
- NPI 1235321340
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154304000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1203033600000",
"number": "1821004011",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 386",
"city": "LINWOOD",
"state": "NJ",
"postal_code": "082210386",
"telephone_number": "609-652-6600",
"fax_number": "609-652-1267"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "72 JIM LEEDS RD",
"address_2": "STOCKTON MEDICAL BUILDING",
"city": "POMONA",
"state": "NJ",
"postal_code": "082400836",
"telephone_number": "609-652-6600",
"fax_number": "609-652-1267"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUNG",
"first_name": "EDWARD",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-31",
"last_updated": "2008-02-15",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "NJ",
"license": "MA029589",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pomona, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.