Individual provider Active NPI

Woojae Sung, DPT

  • Physical Therapist
  • Hackensack, NJ
National Provider Identifier
1891151171
Registry record updated Jan 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA01650900 Issued in NJ
Practice address
605 Main St
Hackensack, NJ 07601-5914
Phone
(201) 488-0488
NPI assigned
Jan 2, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 2, 2016

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 40QA01650900 NJ Primary

Addresses

Primary practice location

605 Main St
Hackensack, NJ 07601-5914

Mailing address

453 10TH St
Palisades Park, NJ 07650-2324
Phone (201) 970-1203

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160203001039 NJ Practitioner - Physical Therapist in Private Practice 7113221698 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kayal Medical Group, LLCGroup PAC ID 2961894019, 76 clinicians

Practice addresses (Care Compare)

185 Route 17 S
Suite 101
Paramus, NJ 07652
Phone (844) 777-0910

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
40QA01650900NJMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Kayal Medical Group, LLC Physical Therapist CurrentSince Jan 1, 2022 Accepting new patients
Kayal Orthopaedic Center, P.C. CurrentSince Mar 15, 2021 Accepting new patients

Locations

519 Broadway
Ste 3700
Bayonne, NJ 07002
Phone (201) 942-4540

784 Franklin Ave
Ste 250
Franklin Lks, NJ 07417
Phone (201) 560-0711

9226 Kennedy Blvd
Ste 2
North Bergen, NJ 07047
Phone (201) 861-4447

185 N Route 17
Ste 101
Paramus, NJ 07652
Phone (201) 560-0711

185 N Route 17
Ste 104
Paramus, NJ 07652

185 N State Rt 17
Paramus, NJ 07652

543 45th St
Union City, NJ 07087
Phone (201) 662-5437

529 Goffle Rd
Wyckoff, NJ 07481
Phone (201) 652-1010

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1451692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1451692800000",
    "number": "1891151171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "453 10TH ST",
            "city": "PALISADES PARK",
            "state": "NJ",
            "postal_code": "076502324",
            "telephone_number": "201-970-1203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 MAIN ST",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076015914",
            "telephone_number": "201-488-0488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUNG",
        "first_name": "WOOJAE",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-01-02",
        "last_updated": "2016-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01650900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hackensack, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2016; 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.