SU YEON JEON
NPI 1033646856
Nurse Practitioner - Family in Bronx, NY

Q: What is Su Yeon Jeon's NPI number?

The NPI number for Su Yeon Jeon is 1033646856. It was assigned to this individual provider in the NPPES registry on May 11, 2017.

Q: What is Su Yeon Jeon's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Su Yeon Jeon was last updated on July 26, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since May 11, 2017PECOS Enrolled

2015 GRAND CONCOURSE, BRONX, NY 10453(718) 299-7295(718) 299-6797 Get Directions Write a Review

NPPES record last updated: July 26, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 26, 2019, May 11, 2017 (2 updates tracked since 2017).

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About Su Yeon Jeon NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SU YEON JEON (NPI 1033646856) is an individual family provider in Bronx, New York, licensed in New York (F341298) and active in the NPI registry since May 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1033646856

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameSU YEON JEON

Location Address2015 GRAND CONCOURSEBronx, NY 10453-4303

Mailing Address3198 Grand ConcourseBronx, NY 10458-1000 · (718) 618-0401 · Fax (347) 479-1903

Phone(718) 299-7295

Fax(718) 299-6797

Sole ProprietorNo

Enumeration DateMay 11, 2017

Last NPPES UpdateJuly 26, 20192 updates tracked since enumeration

✔ NPI 1033646856 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in NY · F341298

2015 GRAND CONCOURSE, Bronx, NY 10453

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Su Yeon Jeon is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10453 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$105.06 typical visit price

range $67.40 – $203.53

Typical copayment $26.26 (range $16.85 – $50.88)

Most-billed visit code 99203

Established Patient

$117.62 typical visit price

range $21.66 – $164.45

Typical copayment $29.40 (range $5.41 – $41.11)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MANA RAO M.D.

Internal Medicine (Infectious Disease)