ICHABOD S JUNG MD
NPI 1497784789
Urology in Jamestown, NY

Active since July 01, 2006
117 FOOTE AVE, SUITE 100, JAMESTOWN, NY 14701(716) 338-9200(716) 338-9250 Get Directions Write a Review

NPPES record last updated: February 3, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ichabod S Jung Md NPPES

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

ICHABOD S JUNG MD (NPI 1497784789) is an individual urology provider in Jamestown, New York, licensed in New York (220355) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1497784789
Entity TypeIndividualMale
Primary Taxonomy208800000X
Provider Legal NameICHABOD S JUNGCredential: MD
Location Address117 FOOTE AVE, SUITE 100Jamestown, NY 14701-6947
Mailing Address117 Foote Ave, Suite 100Jamestown, NY 14701-6947 · (716) 338-9200 · Fax (716) 338-9250
Fax(716) 338-9250
Sole ProprietorNo
Enumeration DateJuly 1, 2006
Last NPPES UpdateFebruary 3, 2011
NPI 1497784789 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
Licenses Licensed in NY · 220355 Licensed in PA · MD417045
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
117 FOOTE AVE, Jamestown, NY 14701

Other Identifiers 3

Medicare UPINH39184NY
Medicare ID-Type UnspecifiedCC6336NY
Medicaid2163913NY

Other Providers at the Same Location NPPES 12

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

Nurse Practitioner (Family)
117 FOOTE AVE
JAMESTOWN, NY 14701
Radiology (Radiation Oncology)
117 FOOTE AVE
JAMESTOWN, NY 14701
Physician Assistant
117 FOOTE AVE, SUITE 100
JAMESTOWN, NY 14701
Physician Assistant (Surgical)
117 FOOTE AVE
JAMESTOWN, NY 14701
Urology
117 FOOTE AVE
JAMESTOWN, NY 14701
Urology
117 FOOTE AVE
JAMESTOWN, NY 14701
Physician Assistant
117 FOOTE AVE
JAMESTOWN, NY 14701
Urology
117 FOOTE AVE
JAMESTOWN, NY 14701

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 Ichabod Jung's NPI number?

The NPI number for Ichabod Jung is 1497784789. It was assigned to this individual provider in the NPPES registry on July 1, 2006.

Where is Ichabod Jung located?

Ichabod Jung practices at 117 Foote Ave Suite 100, Jamestown, NY 14701. The listed phone number is (716) 338-9200.

What is Ichabod Jung's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

When was this NPI record last updated?

The NPPES record for Ichabod Jung was last updated on February 3, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.