Individual provider Active NPI

Kay Jung, PT

  • Physical Therapist
  • Nanuet, NY
National Provider Identifier
1881910685
Registry record updated May 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
028563 Issued in NY
Practice address
25 Smith St Ste 202
Nanuet, NY 10954-2971
Phone
(845) 623-6333
Fax
(845) 623-5333
NPI assigned
Apr 19, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 3, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 028563 NY Primary

Addresses

Primary practice location

25 Smith St Ste 202
Nanuet, NY 10954-2971

Mailing address

25 Smith St Ste 202
Nanuet, NY 10954-2971
Phone (845) 623-6333

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100604000332 NY Practitioner - Physical Therapist in Private Practice 0941330732 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

25 Smith St
Suite 202
Nanuet, NY 10954-2971
Phone (845) 623-6333

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
028563NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Hudson Health Physical Therapy, PLLC Physical Therapist CurrentSince Oct 1, 2016 Accepting new patients
Hudson Health Chiropractic, PLLC Past Accepting new patients
Yakov Raufov Medical PC Past Accepting new patients

Locations

25 Smith St
Ste 202
Nanuet, NY 10954
Phone (845) 623-6333

Organizations & group practices 3

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": "1271635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651536000000",
    "number": "1881910685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 SMITH ST STE 202",
            "city": "NANUET",
            "state": "NY",
            "postal_code": "109542971",
            "telephone_number": "845-623-6333",
            "fax_number": "845-623-5333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 SMITH ST STE 202",
            "city": "NANUET",
            "state": "NY",
            "postal_code": "109542971",
            "telephone_number": "845-623-6333",
            "fax_number": "845-623-5333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUNG",
        "first_name": "KAY",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-04-19",
        "last_updated": "2022-05-03",
        "certification_date": "2022-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "028563",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nanuet, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.