JAY SOO JUNG (NPI# 1063401610) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063401610 |
| Entity Type | Individual |
| Full Name | JAY SOO JUNG |
| Credential | MD |
| Practice Address |
17th & Chew Street Allentown PA 18102 |
| Mailing Address |
1245 S Cedar Crest Blvd Suite #301 Allentown PA 18103-6258 |
| Practice Telephone | 6104029029 |
| Practice Fax Number | 6104029029 |
| Mailing Telephone | 6104029080 |
| Mailing Fax Number | 6104029029 |
| Enumeration Date | 2005-10-17 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207L00000X | Anesthesiology | MD031217L | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | KEYSTONE MERCY | 1010381 | 01 |
| PA | PA MEDICAID | 0006219430002 | 01 |
| PA | KHP CENTRAL | 0095960 | 01 |
| PA | INDEP. BLUE CROSS | 0040562000 | 01 |
| PA | AMERIHEALTH MERCY | 1010381 | 01 |
| PA | GATEWAY | 00621943 | 01 |
| PA | THREE RIVERS | 000000093531 | 01 |
| PA | HIGHMARK | 095960 | 01 |
| Street Address |
17TH & CHEW STREET |
| City | ALLENTOWN |
| State | PA |
| Zip Code | 18102 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578558524 | Cheryl Ann Bowman | Registered Nurse | 17th & Chew Street, Allentown, PA 18102 | 2005-09-15 |
| 1437444585 | Nasrideen Mohammed Noor | Pediatrics | 17th & Chew Street, Children's Clinic, Allentown, PA 18105-7017 | 2011-06-16 |
| 1861621021 | Elbert Tse-fu Chen | Obstetrics & Gynecology | 17th & Chew Street, Ob/gyn Admin Suite, Allentown, PA 18105-7017 | 2009-07-09 |
| 1245229897 | Catherine Mary Gruer | Internal Medicine | 17th & Chew Street, Allentown, PA 18105-7017 | 2005-10-17 |
| 1669469474 | Margaret E. Dorney | Registered Nurse | 17th & Chew Street, Allentown, PA 18102 | 2005-10-06 |
| 1750378634 | Evelyn J. Ochar | Registered Nurse | 17th & Chew Street, Allentown, PA 18102 | 2005-10-05 |
| 1346237278 | Carol Coffinger | Registered Nurse | 17th & Chew Street, Allentown, PA 18102 | 2005-10-05 |
| 1003803933 | Gregory J. Binder | Registered Nurse | 17th & Chew Street, Allentown, PA 18102 | 2005-10-05 |
| 1801883699 | Anthony Iachini | Registered Nurse | 17th & Chew Street, Allentown, PA 18102 | 2005-10-05 |
| 1144217316 | Raymond A. Yedlock | Registered Nurse | 17th & Chew Street, Allentown, PA 18102 | 2005-10-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548808363 | Katherine Camoni | Counselor | 451 West Chew St., Allentwon, PA 18102 | 2019-12-11 |
| 1346802931 | Kelly Alexander | Counselor | 451 W . Chew Street, Allentown, PA 18102 | 2019-07-03 |
| 1457910481 | Ayza Taimur | Internal Medicine | 1627 West Chew Street, 101, Allentown, PA 18102 | 2019-06-12 |
| 1972161602 | Emily Skutnik | Internal Medicine | Lvpp 1627 West Chew Street #101, Allentown, PA 18102 | 2019-05-29 |
| 1508336652 | Mercy A Gonzalez Devillacis | Counselor | 843 N . 6 Th St, Allentown, PA 18102 | 2018-12-03 |
| 1134611742 | Amanda Catherine Koziel | Family Medicine | 218 N. 2nd Street, Allentown, PA 18102 | 2018-05-31 |
| 1174981369 | Marcos Morales | Counselor | 462 W. Walnut Street, Allentown, PA 18102 | 2016-02-03 |
| 1740688423 | Kidspeace Children's Hospital, Inc. | Clinic/Center | 451 W. Chew St., Suite 105, Allentown, PA 18102 | 2014-12-12 |
| 1982006250 | Martha Lebron | Nurse Practitioner | 451 Chew St Ste 400, Allentown, PA 18102 | 2014-09-18 |
| 1841699741 | Nicole Tennant | Physical Therapy Assistant | 613 W Allen St, Allentown, PA 18102 | 2014-08-15 |
| Find all providers in zip 18102 | ||||
| Taxonomy Code | 207L00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457762007 | Mahima Shah | Anesthesiology | 4905 W Tilghman St Ste 250, Allentown, PA 18104 | 2014-05-16 |
| 1720406846 | Alan Yen-chen Chou | Anesthesiology | 4031 Primrose Dr, Allentown, PA 18104 | 2014-04-04 |
| 1659691871 | Joann Hunsberger | Anesthesiology | 1240 S. Cedar Crest Blvd, Ste 410 Lehigh Valley Health Network-dom, Allentown, PA 18105 | 2010-06-10 |
| 1245561950 | Ramon John Deeb | Anesthesiology | 1129 S. 24th St., Allentown, PA 18103 | 2010-01-20 |
| 1609912104 | Laboni Choudhury | Anesthesiology | 1736 Hamilton St, St. Luke's Hospital, Allentown, PA 18104 | 2007-01-30 |
| 1568571651 | Barry O. Pinkus | Anesthesiology | 1503 N. Cedar Crest Blvd, Allentown, PA 18104-2301 | 2006-08-30 |
| 1508842246 | Lehigh Anesthesia Associates, P.C. | Anesthesiology | 5100 Tilghman Street, Suite 315, Allentown, PA 18104 | 2005-12-15 |
| 1487653374 | Rene L Pristas | Anesthesiology | 4905 W Tilghman St, Suite 250, Allentown, PA 18104-9130 | 2005-07-21 |
| 1487652673 | Sanjay C Kansara | Anesthesiology | 421 Chew St, Allentown, PA 18102-3406 | 2005-07-12 |
| 1306844089 | Anatoly I Kremer | Anesthesiology | 5100 W Tilghman St Ste 315, Allentown, PA 18104-9166 | 2005-07-07 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.