Individual provider Active NPI

Matthew Jung, DO

  • Surgery Physician
  • New York, NY
National Provider Identifier
1861992513
Registry record updated Nov 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
318368 Issued in NY
Practice address
1060 5TH Ave # 1B
New York, NY 10128-0104
Phone
(212) 988-8269
NPI assigned
Feb 20, 2018
Last updated
Nov 19, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 19, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X 318368 NY Primary

Addresses

Primary practice location

1060 5TH Ave # 1B
New York, NY 10128-0104

Mailing address

3016 30TH Dr # 3F
Astoria, NY 11102-1874
Phone (718) 626-0707

Other practice location 1

3016 30th Dr # 3F
Astoria, NY 11102-1874
Phone (718) 626-0707

Other identifiers 1

IdentifierTypeStateIssuer
1023446MedicaidNJ

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
I20260102001616 NY Practitioner - General Surgery 6901343623 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Rowan University School of Osteopathic Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Related Surgical Specialties, PCGroup PAC ID 7810351459, 12 clinicians
Surgical Specialists of Greater Ny LLPGroup PAC ID 3375729833, 12 clinicians

Practice addresses (Care Compare)

1060 5TH Ave
Suite 1B
New York, NY 10128-0104
Phone (212) 988-8269

40 Berry Hill Rd
Oyster Bay, NY 11771-3515
Phone (718) 626-0707

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Removal of tissue1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
318368NYMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Surgical Specialists of Greater Ny LLP Single Specialty CurrentSince Nov 1, 2025 Accepting new patients

Organizations & group practices 2

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.

Hospital & facility affiliations 1

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": "1519084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763510400000",
    "number": "1861992513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3016 30TH DR # 3F",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111021874",
            "telephone_number": "718-626-0707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1060 5TH AVE # 1B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101280104",
            "telephone_number": "212-988-8269"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3016 30th Dr # 3F",
            "address_purpose": "LOCATION",
            "city": "Astoria",
            "state": "NY",
            "postal_code": "111021874",
            "country_code": "US",
            "telephone_number": "718-626-0707",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JUNG",
        "first_name": "MATTHEW",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-02-20",
        "last_updated": "2025-11-19",
        "certification_date": "2025-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "NY",
            "license": "318368",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1023446",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.