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DR. ILL SUNG NA MD
NPI 1942305685
Family Medicine in Bronx, NY

Active since September 14, 2006
477 WILLIS AVE, NARCO FREEDOM, BRONX, NY 10455(718) 292-4640(718) 292-4640 Get Directions Write a Review

NPPES record last updated: September 23, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Ill Sung Na Md NPPES

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

DR. ILL SUNG NA MD (NPI 1942305685) is an individual family medicine provider in Bronx, New York, licensed in New York (154224) and active in the NPI registry since September 2006.

NPPES Registry Identity

NPI1942305685
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. ILL SUNG NACredential: MD
Location Address477 WILLIS AVE, NARCO FREEDOMBronx, NY 10455-4015
Mailing Address477 Willis AveBronx, NY 10455-4015 · (718) 292-4640 · Fax (718) 292-4640
Phone(718) 292-4640
Fax(718) 292-4640
Sole ProprietorNo
Enumeration DateSeptember 14, 2006
Last NPPES UpdateSeptember 23, 2013
✔ NPI 1942305685 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in NY · 154224
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
477 WILLIS AVE, Bronx, NY 10455
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Other Identifiers 2

Medicare UPINB11140NY
Medicaid00787875NY

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.

NARCO FREEDOM INC.
Clinic/Center (Methadone)
477 WILLIS AVE
BRONX, NY 10455
Bronx County (917) 645-0274
JEAN DENIS M.D.
Internal Medicine
477 WILLIS AVE
BRONX, NY 10455
Bronx County (718) 292-4640
MRS. SHAHARA FLOWERS RN
Registered Nurse (Addiction (Substance Use Disorder))
477 WILLIS AVE
BRONX, NY 10455
Bronx County (718) 206-2000

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 Ill Sung Na's NPI number?

The NPI number for Ill Sung Na is 1942305685. It was assigned to this individual provider in the NPPES registry on September 14, 2006.

Where is Ill Sung Na located?

Ill Sung Na practices at 477 Willis Ave Narco Freedom, Bronx, NY 10455. The listed phone number is (718) 292-4640.

What is Ill Sung Na's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Ill Sung Na was last updated on September 23, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.