Provider Demographics
NPI:1841723541
Name:JUNG, JAI (MD)
Entity type:Individual
Prefix:
First Name:JAI
Middle Name:
Last Name:JUNG
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 SCHERMERHORN STREET, APT 207
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11201-3073
Mailing Address - Country:US
Mailing Address - Phone:225-747-0523
Mailing Address - Fax:
Practice Address - Street 1:352 7TH AVE RM 601
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10001-5189
Practice Address - Country:US
Practice Address - Phone:212-216-9580
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-04-10
Last Update Date:2024-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY305704207R00000X, 208M00000X, 208M00000X
NMMD2023-0102207R00000X
IN305704208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalist
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine