JUNGYOON JUNG MD
NPI 1083391908
Student in an Organized Health Care Education/Training Program in Taylor, MI

Q: What is Jungyoon Jung's NPI number?

The NPI number for Jungyoon Jung is 1083391908. It was assigned to this individual provider in the NPPES registry on July 3, 2023.

Q: What is Jungyoon Jung's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Jungyoon Jung was last updated on September 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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 July 03, 2023PECOS Enrolled

10000 TELEGRAPH RD, TAYLOR, MI 48180(313) 295-5000 Get Directions Write a Review

NPPES record last updated: September 5, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 5, 2024, Jul 5, 2023 (2 updates tracked since 2023).

On this page

About Jungyoon Jung Md NPPES

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

JUNGYOON JUNG MD (NPI 1083391908) is an individual student in an organized health care education/training program in Taylor, Michigan and active in the NPI registry since July 2023. He is enrolled in Medicare PECOS and maintains a secondary practice location in Dearborn.

NPPES Registry Identity

NPI1083391908

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameJUNGYOON JUNGCredential: MD

Location Address10000 TELEGRAPH RDTaylor, MI 48180-3330

Mailing Address10000 Telegraph RdTaylor, MI 48180-3330

Phone(313) 295-5000

Sole ProprietorNo

Enumeration DateJuly 3, 2023

Last NPPES UpdateSeptember 5, 20242 updates tracked since enumeration

NPPES CertifiedSeptember 5, 2024

✔ NPI 1083391908 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

10000 TELEGRAPH RD, Taylor, MI 48180

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Secondary Practice Location 1

Location 118101 Oakwood BlvdDearborn, MI 48124-4089 · Phone (313) 593-7000

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jungyoon Jung Md 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.

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.

MS. KATHLEEN GRACE MORRISON PT, DPT

Physical Therapist