JIMMY C. SUNG, MD, PLLC (NPI# 1770887119) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1770887119 |
Entity Type | Organization |
Organization Name | JIMMY C. SUNG, MD, PLLC |
Practice Address |
65 Broadway Suite 1701 New York NY 10006-2503 |
Mailing Address |
1204 Foothill Way Mountainside NJ 07092-2043 |
Practice Telephone | 2124522800 |
Mailing Telephone | 6464840378 |
Enumeration Date | 2010-12-28 |
Last Update Date | 2015-02-06 |
Authorized Official Name | DR. JIMMY C SUNG (OWNER) |
Authorized Official Telephone | 2124522800 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2086S0122X |
Surgery Specialization: Plastic and Reconstructive Surgery |
Allopathic & Osteopathic Physicians |
Street Address |
65 BROADWAY SUITE 1701 |
City | NEW YORK |
State | NY |
Zip Code | 10006-2503 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437182375 | Jordan C. Stern | Otolaryngology | 65 Broadway, Suite 901, New York, NY 10006-2503 | 2006-07-07 |
1942849401 | Joseph Charles Cestaro | Physical Therapist | 65 Broadway, New York, NY 10006-2503 | 2020-01-02 |
1700443280 | Elizabeth Roper | Acupuncturist | 65 Broadway, New York, NY 10006-2503 | 2019-05-21 |
1578009270 | Ny Mobile Medical PC | Specialist | 65 Broadway, Ste 903, New York, NY 10006-2503 | 2017-01-18 |
1801270715 | Rosemary Ward | Nurse Practitioner | 65 Broadway, Suite 903, New York, NY 10006 | 2015-07-10 |
1588053557 | New York Speech & Voice Lab Pllc | Speech-Language Pathologist | 65 Broadway, Suite 822, New York, NY 10006-2503 | 2015-01-14 |
1154726479 | Wall Street Podiatry PC | Podiatrist | 65 Broadway, Unit 1103, New York, NY 10006-2503 | 2014-10-29 |
1487061065 | Erika Hellwig Mental Health Counselor Pllc | Counselor | 65 Broadway, 844, New York, NY 10006-2503 | 2014-07-16 |
1902220585 | Katie Lorenzo | Social Worker | 65 Broadway, 505, New York, NY 10006-2503 | 2014-02-18 |
1184068017 | Modern Dermatology Pllc | Specialist | 65 Broadway, New York, NY 10006-2503 | 2013-04-22 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720620313 | Retina Labs (usa), Inc. | Technician/Technologist | 165 Broadway - One Liberty Plaza, Suite 2301, New York City, NY 10006 | 2019-10-15 |
1437626140 | Conscientiamd PC | Psychiatry & Neurology | 115 Broadway Suite 1800 (room 25), New York, NY 10006 | 2018-10-31 |
1720563232 | Harveen Kaur | Physical Therapist | 65 Broadway, Ste. 603, New York, NY 10006 | 2018-10-01 |
1871032367 | Joanne Herskovits | Speech-Language Pathologist | 90 Trinity Place, Leadership and Public Service High School, New York, NY 10006 | 2017-02-16 |
1457801318 | Lifetime Physical Therapy | Clinic/Center | 2 Rector St # 1301, Lifetime Physical Therapy, New York, NY 10006 | 2016-10-04 |
1649647959 | Progyny, Inc. | Exclusive Provider Organization | 1 Liberty Plaza, 47th Floor, New York, NY 10006 | 2015-08-24 |
1801207022 | Jane Arkinstall | Social Worker | 39 Broadway Suite 200, Mjhs, New York, NY 10006 | 2014-05-09 |
1487077665 | Jacob Perlow Hospice | Medicare Defined Swing Bed Unit | 39 Broadway, Suite 200, Ny, NY 10006 | 2014-01-24 |
1003249301 | Calvin C. Krom IIi | Emergency Medicine | 39 Broadway Fl 3, New York, NY 10006 | 2013-08-10 |
1740535103 | Carol Lynn Say Tan | Physical Therapist | 61 Broadway Suite 2824, New York, NY 10006 | 2012-07-20 |
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Taxonomy Code | 2086S0122X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Surgery |
Specialization | Plastic and Reconstructive Surgery |
A surgeon who specializes in plastic and reconstructive surgery. |
Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Surgery. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356751937 | Philip Lotfi | Surgery | 630 1st Ave Apt 33g, New York, NY 10016-4234 | 2014-05-05 |
1801237516 | Marie-eve Pepin | Surgery | 1233 York Ave Apt 20o, New York, NY 10065-6342 | 2013-07-10 |
1851661235 | Robert M. Freund, M.d., P.C. | Surgery | 170 E End Ave, Suites Cs, New York, NY 10128-7600 | 2012-01-03 |
1497902597 | Colleen M Mccarthy | Surgery | 1275 York Ave Rm Mri-1007, New York, NY 10065-6007 | 2008-08-20 |
1043472368 | Nilay R Shah | Surgery | 330 E 38th St Apt 20o, New York, NY 10016-0358 | 2008-06-27 |
1942467543 | Peter William Henderson | Surgery | 10 Union Sq E Frnt 2l, New York, NY 10003-3314 | 2008-05-21 |
1790950343 | Michael E Jones Md PC | Surgery | 120 East 61st Street, New York, NY 10021 | 2008-04-24 |
1679755334 | Craig Andrew Baldenhofer | Surgery | 115 W 27th St Ste 1001, New York, NY 10001-6217 | 2007-12-04 |
1942415682 | Reconstructive Surgery Offices, P.C. | Surgery | 1001 Fifth Ave, New York, NY 10028 | 2007-05-14 |
1518182252 | Pamela Renee Lipkin | Surgery | 905 Fifth Ave., Suite 1c, New York, NY 10021 | 2007-04-16 |
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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.