Active NPI
Josephine Jung-Ah Suh
- Social Worker
- New York, NY
National Provider Identifier
1982202685
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Practice address
- 274 Madison Ave RM 1501
New York, NY 10016-0701 - Phone
- (212) 203-1776
- Fax
- (646) 665-4207
- NPI assigned
- Oct 14, 2020
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | PA | Primary |
Addresses
Primary practice location
274 Madison Ave RM 1501
New York, NY 10016-0701
Mailing address
274 Madison Ave RM 1501
New York, NY 10016-0701
Phone (212) 203-1776
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Dec 31, 2023 through Dec 31, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1602633600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1602633600000",
"number": "1982202685",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "274 MADISON AVE RM 1501",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100160701",
"telephone_number": "212-203-1776",
"fax_number": "646-665-4207"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "274 MADISON AVE RM 1501",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100160701",
"telephone_number": "212-203-1776",
"fax_number": "646-665-4207"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUH",
"first_name": "JOSEPHINE",
"middle_name": "JUNG-AH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-10-14",
"last_updated": "2020-10-14",
"certification_date": "2020-10-14",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "PA",
"license": null,
"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 Oct 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.