Active NPI
Peter Yijoon Jung, M.D.
- Pediatrics Physician
- Houston, TX
National Provider Identifier
1962491928
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- L4996
- Practice address
- 915 Gessner Rd
Suite 760
Houston, TX 77024-2527 - Phone
- (713) 467-1741
- NPI assigned
- Oct 20, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | L4996 | TX | Primary |
Addresses
Primary practice location
915 Gessner Rd
Suite 760
Houston, TX 77024-2527
Mailing address
915 Gessner Rd
Suite 760
Houston, TX 77024-2527
Phone (713) 467-1741
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L4996 | TX | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Blue Fish Pediatrics, L.L.P. | Pediatrics | Past | Accepting new patients |
Interoperability endpoints
- peter.jung@blu.eclinicaldirectplus.com
Organizations & group practices 1
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.
-
- Pediatrics Physician
- Houston, TX
- NPI 1891884508
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129766400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1184284800000",
"number": "1962491928",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "915 GESSNER RD",
"address_2": "SUITE 760",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770242527",
"telephone_number": "713-467-1741",
"fax_number": "713-467-0536"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "915 GESSNER RD",
"address_2": "SUITE 760",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770242527",
"telephone_number": "713-467-1741"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JUNG",
"first_name": "PETER",
"middle_name": "YIJOON",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-20",
"last_updated": "2007-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "TX",
"license": "L4996",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.