Young Spine Neurosurgery PC

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

Legal business name

YOUNG SPINE NEUROSURGERY PC

Practice address

695 Rivervale Rd
River Vale, NJ 07675-6449

Phone

(201) 787-7294

NPI assigned

Oct 4, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Jay Young Chun, MDNPI 1548227663

Title

Owner

Phone

(201) 787-7294

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jay Young Chun, MD

  • Neurological Surgery Physician
  • Summit, NJ
  • NPI 1548227663
  NPD Authorized official

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

{
    "created_epoch": "1696377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696377600000",
    "number": "1821878067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "695 RIVERVALE RD",
            "city": "RIVER VALE",
            "state": "NJ",
            "postal_code": "076756449",
            "telephone_number": "201-787-7294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "695 RIVERVALE RD",
            "city": "RIVER VALE",
            "state": "NJ",
            "postal_code": "076756449",
            "telephone_number": "201-787-7294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUNG SPINE NEUROSURGERY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-04",
        "last_updated": "2023-10-04",
        "certification_date": "2023-10-04",
        "status": "A",
        "authorized_official_last_name": "CHUN",
        "authorized_official_first_name": "JAY",
        "authorized_official_middle_name": "YOUNG",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-787-7294",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neurological Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Neurological Surgery Physician in River Vale, NJ
• Providers in River Vale, NJ by specialty
• Neurological Surgery Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.