DR. BOKKWAN JUN (NPI# 1124256581) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124256581 |
| Entity Type | Individual |
| Full Name | DR. BOKKWAN JUN |
| Credential | M.D. |
| Practice Address |
30 Merrick Ave East Meadow NY 11554 |
| Mailing Address |
825 E Gate Blvd Ste 111 Garden City NY 11530-2136 |
| Practice Telephone | 5168128678 |
| Practice Fax Number | 5168129213 |
| Mailing Telephone | 5168045200 |
| Mailing Fax Number | 5162406540 |
| Enumeration Date | 2009-06-24 |
| Last Update Date | 2019-10-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207WX0109X |
Ophthalmology Specialization: Neuro-ophthalmology |
297533 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 05458860 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 30 Merrick Ave, East Meadow, NY 11554 | 5168128678 | 5168129213 |
| 3215 Wingate Ct Ste 102, Columbia, MO 652017689 | 5738828920 |
| Street Address |
30 MERRICK AVE |
| City | EAST MEADOW |
| State | NY |
| Zip Code | 11554 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902892755 | Bradley L White | Specialist | 30 Merrick Ave, Suite 100, East Meadow, NY 11554-1580 | 2005-09-26 |
| 1457710915 | Winthrop Community Medical Affiliates, PC | Orthopaedic Surgery | 30 Merrick Ave, Suite 100, East Meadow, NY 11554-1580 | 2016-02-12 |
| 1295082899 | Michael S Santoro M D P C | Urology | 30 Merrick Ave, Suite 101, East Meadow, NY 11554-1580 | 2012-08-14 |
| 1487913752 | Jeffrey M. Meyer, M.d. Pllc | Orthopaedic Surgery | 30 Merrick Ave, Suite 100, East Meadow, NY 11554-1580 | 2012-05-08 |
| 1184908196 | Island Orthopaedic Medicine PC | Orthopaedic Surgery | 30 Merrick Ave, Suite 100, East Meadow, NY 11554-1580 | 2011-10-10 |
| 1073809885 | Island Sports Medicine LLP | Orthopaedic Surgery | 30 Merrick Ave, Suite 100, East Meadow, NY 11554-1580 | 2011-06-21 |
| 1366734097 | Adam D Botwinick | Internal Medicine | 30 Merrick Ave, East Meadow, NY 11554-1580 | 2011-05-13 |
| 1063741023 | Kecia Patrease Ford | Internal Medicine | 30 Merrick Ave, # 105, East Meadow, NY 11554-1580 | 2009-12-21 |
| 1306079736 | Steven Goodman, Md Physician Faos Pllc | Specialist | 30 Merrick Ave, Suite 100, East Meadow, NY 11554-1580 | 2009-09-02 |
| 1346437183 | Rhona S Susser | Dermatology | 30 Merrick Ave, East Meadow, NY 11554-1579 | 2007-09-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164033254 | Ellen B. Gordon | Counselor | 533 Wagstaff Drive, East Meadow, NY 11554 | 2020-08-12 |
| 1770140717 | Saad Wasiq | Student in an Organized Health Care Education/Training Program | Psychiatry Department, Nassau University Medicial Centre, East Meadow, NY 11554 | 2019-05-24 |
| 1407410202 | Shiana Sekhri | Student in an Organized Health Care Education/Training Program | Nassau Univ Medical Center, 2201 Hempstead Turnpike, East Meadow, NY 11554 | 2019-04-26 |
| 1427612738 | Shanli Parnia | Student in an Organized Health Care Education/Training Program | Nuhealth/nassau University Medical Center - 2201 Hempst, East Meadow, NY 11554 | 2019-04-23 |
| 1003308842 | Sindhu Barola | Student in an Organized Health Care Education/Training Program | 2201 Hempstead Turnpike Nassau University Medical Cente, Department of Pediatrics, East Meadow, NY 11554 | 2018-06-06 |
| 1831681121 | Sehajvir Singh Madhok | Student in an Organized Health Care Education/Training Program | 2201 Hempstead Turnpike Nassau University Medical Centr, Department of Pediatrics, East Meadow, NY 11554 | 2018-06-01 |
| 1184115917 | Neeti Prerana Luke | Student in an Organized Health Care Education/Training Program | Nassau University Medical Centre, 2201 Hempstead Turnpike, East Meadow, NY 11554 | 2018-05-29 |
| 1992292155 | Syed Mudassir Hussaini | Student in an Organized Health Care Education/Training Program | Nassau University Medical Center Deparetment of Medicin, 2201 Hempstead Turnpike, East Meadow, NY 11554 | 2018-04-13 |
| 1942726724 | Renju Thomas | Nurse Practitioner | 1901 North Jerusalem Rd, Eastmeadow, NY 11554 | 2017-08-14 |
| 1871013185 | Michelle Kates | Specialist | 1491 Rose Lane, East Meadow, NY 11554 | 2017-06-27 |
| Find all providers in zip 11554 | ||||
| Taxonomy Code | 207WX0109X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| Specialization | Neuro-ophthalmology |
| A neuro-ophthalmologist is a subspecialist of ophthalmology. This physician evaluates, treats, and studies disorders of the eye, orbit and nervous system having to do with interactions of the visual motor and visual sensory systems with the central nervous system. Neuro-ophthalmologists manage patients with complex and severe neuro-ophthalmological disorders. |
| Notes: Source: American Academy of Ophthalmology, www.aao.org [7/1/2017: new] - Additional Resources: Association of University Professors of Ophthalmology, www.aupo.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992280374 | Rachel Eljashev | Ophthalmology | 115 Charles Ave, Massapequa Park, NY 11762 | 2018-10-01 |
| 1477940955 | Christine Greer | Ophthalmology | 1330 1st Ave, 306, New York, NY 10021-4742 | 2015-04-22 |
| 1881731479 | Cheng Zhang | Ophthalmology | 3400 Bainbridge Avenue, Bronx, NY 10467 | 2007-01-31 |
| City | EAST MEADOW |
| Zip Code | 11554 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.