Individual provider Active NPI

Kyungje Sung

  • Sports Medicine (Physical Medicine & Rehabilitation) Physician
  • Bedford, MA
National Provider Identifier
1851950703
Registry record updated May 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081S0010X
License
332376 Issued in NY
Practice address
200 Springs Rd
Bedford, MA 01730-1114
Phone
(617) 687-2000
NPI assigned
Jun 12, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 25, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Physical Medicine & Rehabilitation) Physician 2081S0010X 332376 NY Primary

Addresses

Primary practice location

200 Springs Rd
Bedford, MA 01730-1114

Mailing address

200 Springs Rd
Bedford, MA 01730-1114

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241001001622 NY Practitioner - Physical Medicine and RehabilitationPractitioner - Sports Medicine 0840616314 Reassigns benefits to 4 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Bronx Medical Practice P.C. CurrentSince Aug 12, 2024 Accepting new patients
Essen Medical Associates, PC Current Accepting new patients
Shakespeare Operating LLC CurrentSince Aug 12, 2024 Accepting new patients
Essen Medical Associates, PC CurrentSince Aug 12, 2024 Accepting new patients
House Call Medical Services of New York, PLLC CurrentSince Aug 12, 2024 Accepting new patients
Essen Medical Associates,PC CurrentSince Aug 12, 2024 Accepting new patients

Locations

1990 McGraw Ave
Ste A
Bronx, NY 10462

1550 Dr Martin L King Jr Blvd
Bronx, NY 10452
Phone (347) 269-2366

2505 Grand Ave
Bronx, NY 10468
Phone (718) 295-1400

5235 Broadway
Ste C
Bronx, NY 10463
Phone (646) 350-1633

1371 Seabury Ave
Bronx, NY 10461
Phone (718) 294-6200

2015 Grand Concourse
Bronx, NY 10453
Phone (718) 294-6200

2722 White Plains Rd
Ste A
Bronx, NY 10467

3130 Grand Concourse
Ste 1N
Bronx, NY 10458
Phone (718) 365-0892

1434 Williamsbridge Rd
Ste A
Bronx, NY 10461

2308 Eastchester Rd
Bronx, NY 10469

502 E Tremont Ave
Bronx, NY 10457
Phone (646) 762-6905

616 Castle Hill Ave
Ste A
Bronx, NY 10473

1250 Shakespeare Ave
Bronx, NY 10452
Phone (646) 350-1633

1009 E 163rd St
Bronx, NY 10459
Phone (718) 828-6800

1532 Grand Concourse
Bronx, NY 10457
Phone (718) 689-6847

2445 Arthur Ave
Bronx, NY 10458
Phone (718) 220-3434

2702 3rd Ave
Ste A
Bronx, NY 10454

1181 Grand Concourse
Bronx, NY 10452
Phone (718) 655-1400

2742 3rd Ave
Ste A
Bronx, NY 10455

5667 Riverdale Ave
Bronx, NY 10471

3134 E Tremont Ave
Bronx, NY 10461
Phone (718) 239-1000

3991 White Plains Rd
Ste A
Bronx, NY 10466

8989 Union Tpke
Ste A
Glendale, NY 11385
Phone (718) 746-0400

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1560297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748131200000",
    "number": "1851950703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 SPRINGS RD",
            "city": "BEDFORD",
            "state": "MA",
            "postal_code": "017301114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 SPRINGS RD",
            "city": "BEDFORD",
            "state": "MA",
            "postal_code": "017301114",
            "telephone_number": "617-687-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUNG",
        "first_name": "KYUNGJE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-12",
        "last_updated": "2025-05-25",
        "certification_date": "2025-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081S0010X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Sports Medicine",
            "state": "NY",
            "license": "332376",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bedford, MA

Sources for this page

Verify at the official NPI Registry.