MYUNG GASTROENTEROLOGY, P.C.
NPI 1619271897
Internal Medicine - Gastroenterology in Flushing, NY

Active since January 03, 2011CLIA 33D2020204 · Certificate of Compliance
15408 NORTHERN BLVD, SUITE 2K, FLUSHING, NY 11354(718) 445-0200 Get Directions Write a Review

NPPES record last updated: January 3, 2011. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Myung Gastroenterology, P.c. NPPES

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

MYUNG GASTROENTEROLOGY, P.C. (NPI 1619271897) is a healthcare organization registered as a gastroenterology in Flushing, New York and active in the NPI registry since January 2011. The organization holds a CLIA Certificate of Compliance certificate valid through October 25, 2027 and lists Joon Mo Myung, Owner, as its authorized official.

NPPES Registry Identity

NPI1619271897
Entity TypeOrganization
Primary Taxonomy207RG0100X
Legal Business NameMYUNG GASTROENTEROLOGY, P.C.
Location Address15408 NORTHERN BLVD, SUITE 2KFlushing, NY 11354-5040
Mailing Address15408 Northern Blvd, Suite 2kFlushing, NY 11354-5040 · (718) 445-0200
Organization SubpartNo
Authorized OfficialJoon Mo MyungOwner · (718) 445-0200
Enumeration DateJanuary 3, 2011
✔ NPI 1619271897 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License✔ Licensed in NY · 256592-1
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
15408 NORTHERN BLVD, Flushing, NY 11354

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Myung Gastroenterology, P.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Myung Gastroenterology, P.C., which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Gastroenterology
NPI 1265598759
15408 NORTHERN BLVD SUITE 2K
Flushing, NY 11354
(718) 445-0200
✔ PECOS✔ Accepts MedicareSame address
Pathology
NPI 1750502589
100 WOODS RD
Valhalla, NY 10595
(914) 493-7394
✔ PECOS✔ Accepts Medicare22 mi

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 33D2020204

Myung Gastroenterology PC · Flushing, NY
Active · expires Oct 25, 2027
CLIA Number33D2020204
Laboratory TypePhysician Office
Certificate Effective DateOctober 26, 2025
Certificate Expiration DateOctober 25, 2027
Laboratory DirectorDr. Liying Han
Laboratory Phone(718) 445-0200
Laboratory LocationMyung Gastroenterology PC154-08 Northern Blvd, Suite 2K, Flushing, NY 11354
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

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 Myung Gastroenterology, P.C.'s NPI number?

The NPI number for Myung Gastroenterology, P.C. is 1619271897. It was assigned to this organization in the NPPES registry on January 3, 2011.

Where is Myung Gastroenterology, P.C. located?

Myung Gastroenterology, P.C. is located at 15408 Northern Blvd Suite 2K, Flushing, NY 11354. The listed phone number is (718) 445-0200.

What is Myung Gastroenterology, P.C.'s specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Myung Gastroenterology, P.C. enrolled in Medicare?

Yes. Myung Gastroenterology, P.C. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Myung Gastroenterology, P.C.?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Myung Gastroenterology, P.C., in Gastroenterology and Pathology. A 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 the clinician's services. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Myung Gastroenterology, P.C. hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 33D2020204) is associated with this NPI, valid through October 25, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Myung Gastroenterology, P.C. was last updated on January 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.