TERESA MIN-JUNG O M.D.
NPI 1447308218
Otolaryngology in New York, NY

Active since January 08, 2007Opted out of Medicare · through Apr 17, 2028
525 E 72ND ST, APT 25F, NEW YORK, NY 10021(646) 825-1893(212) 249-1214 Get Directions Write a Review

NPPES record last updated: August 9, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Teresa Min-jung O M.d. NPPES

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

TERESA MIN-JUNG O M.D. (NPI 1447308218) is an individual otolaryngology provider in New York, New York, licensed in New York (P39757) and active in the NPI registry since January 2007. She has opted out of Medicare through April 17, 2028.

NPPES Registry Identity

NPI1447308218
Entity TypeIndividualFemale
Primary Taxonomy207Y00000X
Provider Legal NameTERESA MIN-JUNG OCredential: M.D.
Location Address525 E 72ND ST, APT 25FNew York, NY 10021-9601
Mailing Address525 East 72nd Street, Apt 25fNew York, NY 10021-9601 · (646) 825-1893 · Fax (212) 249-1214
Fax(212) 249-1214
Sole ProprietorNo
Enumeration DateJanuary 8, 2007
Last NPPES UpdateAugust 9, 2007
NPI 1447308218 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
License Licensed in NY · P39757
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
525 E 72ND ST, New York, NY 10021

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Teresa Min-jung O M.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 17, 2020 through April 17, 2028.

Opt-Out Effective DateApril 17, 2020
Opt-Out In Effect ThroughApril 17, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES

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

Behavior Analyst
525 E 72ND ST
NEW YORK, NY 10021

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Teresa O's NPI number?

The NPI number for Teresa O is 1447308218. It was assigned to this individual provider in the NPPES registry on January 8, 2007.

Where is Teresa O located?

Teresa O practices at 525 E 72nd St Apt 25F, New York, NY 10021. The listed phone number is (646) 825-1893.

What is Teresa O's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Teresa O enrolled in Medicare?

No. Teresa O has opted out of Medicare through April 17, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Teresa O was last updated on August 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.