DR. JAE YONG JUNG
NPI 1659788636
Dentist - General Practice in Manchester, CT
About Dr. Jae Yong Jung NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. JAE YONG JUNG (NPI 1659788636) is an individual general practice provider in Manchester, Connecticut, licensed in Connecticut (11194) and active in the NPI registry since July 2014. He is enrolled in Medicare PECOS and maintains a secondary practice location in Framingham.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Jae Yong Jung is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 06042 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Jae Yong Jung's NPI number?
The NPI number for Jae Yong Jung is 1659788636. It was assigned to this individual provider in the NPPES registry on July 22, 2014.
Where is Jae Yong Jung located?
Jae Yong Jung practices at 179 Deming St Ste A, Manchester, CT 06042. The listed phone number is (860) 644-6500.
What is Jae Yong Jung's specialty?
The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.
Is Jae Yong Jung enrolled in Medicare?
Yes. Jae Yong Jung is registered in the Medicare PECOS enrollment system.
What insurance does Jae Yong Jung accept?
Health plans from Anthem Blue Cross and Blue Sheld, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 5 other insurers list Jae Yong Jung as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Jae Yong Jung was last updated on March 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Dr. Jae Yong Jung · NPI 1659788636
General Practice provider in Manchester, Connecticut. Individual provider, active in the CMS NPPES registry since July 22, 2014.
## Identity
- **NPI:** 1659788636 (Entity type: Individual)
- **Enumerated:** July 22, 2014
- **Primary specialty:** Dentist - General Practice · taxonomy 1223G0001X
- **State license:** 11194 (Connecticut)
- **Sole proprietor:** No
## Practice location
- **Address:** 179 DEMING ST STE A, Manchester, CT 06042-7131
- **Phone:** (860) 644-6500
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
## Record status
- **NPPES last updated:** March 17, 2018
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Source: [NPI Profile](https://npiprofile.com/npi/1659788636) · Data from the CMS NPPES public registry.