Individual provider Active NPI

Seungyong Jung

  • Physical Therapist
  • East Meadow, NY
National Provider Identifier
1891167847
Registry record updated Jun 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
034880 Issued in NY
Practice address
1858 Gerald Ave
East Meadow, NY 11554-1004
Phone
(929) 600-4257
NPI assigned
Oct 28, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 2, 2025

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 034880 NY Primary

Addresses

Primary practice location

1858 Gerald Ave
East Meadow, NY 11554-1004

Mailing address

1858 Gerald Ave
East Meadow, NY 11554-1004
Phone (929) 600-4257

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201007000352 NY Practitioner - Physical Therapist in Private Practice 4789003989 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
034880NYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Jsy Physical Therapy PC Physical Therapist CurrentSince Jun 8, 2025 Accepting new patients
Laon Physical Therapy PC Physical Therapist CurrentSince Oct 4, 2020 Accepting new patients

Locations

13620 Maple Ave
Ste C201
Flushing, NY 11355
Phone (929) 600-4257

4199 Main St
Ste 202B
Flushing, NY 11355
Phone (929) 398-3120

Networks

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

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": "1445990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748822400000",
    "number": "1891167847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1858 GERALD AVE",
            "city": "EAST MEADOW",
            "state": "NY",
            "postal_code": "115541004",
            "telephone_number": "929-600-4257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1858 GERALD AVE",
            "city": "EAST MEADOW",
            "state": "NY",
            "postal_code": "115541004",
            "telephone_number": "929-600-4257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUNG",
        "first_name": "SEUNGYONG",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-10-28",
        "last_updated": "2025-06-02",
        "certification_date": "2025-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "034880",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Meadow, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.