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JENNA HYEONSOO JUNG MD
NPI 1508360439
Allergy & Immunology in Long Island City, NY

Active since March 23, 2018PECOS Enrolled
1017 JACKSON AVE, LONG ISLAND CITY, NY 11101(718) 971-9095(718) 584-5869 Get Directions Write a Review

NPPES record last updated: July 25, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 25, 2023, Mar 23, 2018 (2 updates tracked since 2018).

About Jenna Hyeonsoo Jung Md NPPES

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

JENNA HYEONSOO JUNG MD (NPI 1508360439) is an individual allergy & immunology provider in Long Island City, New York, licensed in New York (309501) and active in the NPI registry since March 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1508360439
Entity TypeIndividualFemale
Primary Taxonomy207K00000X
Provider Legal NameJENNA HYEONSOO JUNGCredential: MD
Location Address1017 JACKSON AVELong Island City, NY 11101-5986
Mailing Address1017 Jackson AveLong Island City, NY 11101-5986 · (718) 971-9095 · Fax (718) 584-5869
Phone(718) 971-9095
Fax(718) 584-5869
Sole ProprietorNo
Enumeration DateMarch 23, 2018
Last NPPES UpdateJuly 25, 20232 updates tracked since enumeration
NPPES CertifiedJuly 25, 2023
✔ NPI 1508360439 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyAllergy & ImmunologyAllopathic & Osteopathic Physicians
Taxonomy Code207K00000X
License✔ Licensed in NY · 309501
Definition
An allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system.
Also ListedPediatricsTaxonomy 208000000X · License 309501 (NY)
1017 JACKSON AVE, Long Island City, NY 11101
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jenna Hyeonsoo 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.

Medicare Billing Reassignment

Medicare enrollment records show Jenna Jung reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Reenal Patel MD PC
Same address
Allergy & Immunology
10-17 JACKSON AVENUE
Long Island City, NY 11101
  • Reassigned Medicare billing, New York enrollment
  • 2 clinicians in this Medicare group
NPI 1225669559 (718) 971-9095

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 3

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

ADAM HAINES MD
Allergy & Immunology
1017 JACKSON AVE
LONG ISLAND CITY, NY 11101
Queens County (718) 971-9095
DR. REENAL RAJIT PATEL M.D.
Allergy & Immunology
1017 JACKSON AVE
LONG ISLAND CITY, NY 11101
Queens County (718) 971-9095
VICTORIA NGOC NGUYEN MD
Allergy & Immunology
1017 JACKSON AVE
LONG ISLAND CITY, NY 11101
Queens County (718) 971-9095

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 Jenna Jung's NPI number?

The NPI number for Jenna Jung is 1508360439. It was assigned to this individual provider in the NPPES registry on March 23, 2018.

Where is Jenna Jung located?

Jenna Jung practices at 1017 Jackson Ave, Long Island City, NY 11101. The listed phone number is (718) 971-9095.

What is Jenna Jung's specialty?

The primary specialty registered for this NPI is Allergy & Immunology with taxonomy code 207K00000X.

Is Jenna Jung enrolled in Medicare?

Yes. Jenna Jung is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jenna Jung's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jenna Jung reassigns Medicare benefits to Reenal Patel MD PC (Long Island City, NY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jenna Jung's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jenna Jung was last updated on July 25, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.