Active NPI
Yu NA Jung
- Pharmacist
- New York, NY
National Provider Identifier
1861997785
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 063182
- Practice address
- 469 W 125TH St
New York, NY 10027-4201 - Phone
- (646) 767-9131
- NPI assigned
- Mar 25, 2018
- Last updated
- Mar 25, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 28RI03799200 | NJ | |
| Pharmacist | 183500000X | 063182 | NY | Primary |
Addresses
Primary practice location
469 W 125TH St
New York, NY 10027-4201
Mailing address
100 Old Palisade Rd Apt 2615
Fort Lee, NJ 07024-7022
Phone (732) 289-8399
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28RI03799200 | NJ | MD | Pharmacist |
| 063182 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Millenia RX Corp | Past | Accepting new patients | |
| Millenia Vision Corp | Past | 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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1521936000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521936000000",
"number": "1861997785",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 OLD PALISADE RD APT 2615",
"city": "FORT LEE",
"state": "NJ",
"postal_code": "070247022",
"telephone_number": "732-289-8399"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "469 W 125TH ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100274201",
"telephone_number": "646-767-9131"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JUNG",
"first_name": "YU NA",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-03-25",
"last_updated": "2018-03-25",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NJ",
"license": "28RI03799200",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "063182",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.