NPIMap

Individual provider Active NPI

Jacqueline Junn

  • Diagnostic Radiology Physician
  • Valhalla, NY
National Provider Identifier
1831458322
Registry record updated May 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
94862 Issued in GA
Practice address
40 Sunshine Cottage Rd
Valhalla, NY 10595-1524
Phone
(914) 594-4000
NPI assigned
May 3, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 30, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X A153590 CA
Student in an Organized Health Care Education/Training Program 390200000X NY
Diagnostic Radiology Physician 2085R0202X 94862 GA Primary

Addresses

Primary practice location

40 Sunshine Cottage Rd
Valhalla, NY 10595-1524

Mailing address

1364 Clifton Rd NE BG20
Atlanta, GA 30332-0001

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230830000090 GA Practitioner - Diagnostic Radiology 5496058349 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
New York Medical College, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Emory Clinic IncGroup PAC ID 8820901408, 3,507 clinicians
Emory Medical Care Foundation IncGroup PAC ID 4981501814, 1,003 clinicians

Practice addresses (Care Compare)

1365 Clifton Rd NE
Atlanta, GA 30322-1013
Phone (404) 778-7525

80 Jesse Hill Jr Dr SE
Atlanta, GA 30303-3031
Phone (404) 616-1000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A153590CAMDDiagnostic Radiology Physician
94862GAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Fpa Hospital Based Current Accepting new patients
Emory Medical Care Foundation Inc Diagnostic Radiology CurrentSince Sep 1, 2023 Accepting new patients
University of California SFGH Medical Group Diagnostic Radiology CurrentSince Jul 31, 2019 Accepting new patients
Fpa Hospital Based Diagnostic Radiology CurrentSince Jun 1, 2020 Accepting new patients
The New York Proton Center CurrentSince Oct 1, 2020 Accepting new patients
Fpa Hospital Based CurrentSince Jun 1, 2020 Accepting new patients
University of California SFGH Medical Group CurrentSince Jul 31, 2019 Accepting new patients
The Emory Clinic Inc Diagnostic Radiology CurrentSince Sep 1, 2023 Accepting new patients
Emory Medical Care Foundation Inc Current Accepting new patients

Locations

1001 Potrero Ave
Bldg 5
San Francisco, CA 94110
Phone (628) 206-5753

80 Jesse Hill Jr Dr SE
Atlanta, GA 30303
Phone (404) 616-4370

1365 Clifton Rd NE
Atlanta, GA 30322
Phone (404) 778-7525

2201 Henderson Mill Rd NE
Ste 160
Atlanta, GA 30345
Phone (404) 251-2193

3712 82nd St
Jackson Hts, NY 11372
Phone (718) 879-1600

1176 5th Ave
New York, NY 10029
Phone (212) 241-6237

1470 Madison Ave
New York, NY 10029
Phone (212) 241-0806

225 E 126th St
New York, NY 10035
Phone (646) 813-1880

Organizations & group practices 9

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1336003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685404800000",
    "number": "1831458322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1364 CLIFTON RD NE BG20",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303320001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 SUNSHINE COTTAGE RD",
            "city": "VALHALLA",
            "state": "NY",
            "postal_code": "105951524",
            "telephone_number": "914-594-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUNN",
        "first_name": "JACQUELINE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-05-03",
        "last_updated": "2023-05-30",
        "certification_date": "2023-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "A153590",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NY",
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "GA",
            "license": "94862",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valhalla, NY

Sources for this page

Verify at the official NPI Registry.