JHUNG WOOCK JHUNG (NPI# 1700093788) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700093788 |
| Entity Type | Individual |
| Full Name | JHUNG WOOCK JHUNG |
| Credential | MD |
| Practice Address |
725 Reservoir Ave Suite 104 & 301b Cranston RI 02910-4448 |
| Mailing Address |
2234 Colonial Blvd Attn: Payer Contracting & Relations Dept. Fort Myers FL 33907-1412 |
| Practice Telephone | 4012758110 |
| Practice Fax Number | 4012758116 |
| Mailing Telephone | 2399317342 |
| Mailing Fax Number | 2399317385 |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2016-10-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZP0101X |
Pathology Specialization: Anatomic Pathology |
4564 | RI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| RI | CIGNA | 0124684 | 01 |
| FL | RR MEDICARE | P01699012 | 01 |
| RI | AETNA | 7963433 | 01 |
| RI | HARVARD PILGRIM | AA469185 | 01 |
| FL | WELLCARE | 440985 | 01 |
| Street Address |
725 RESERVOIR AVE SUITE 104 & 301B |
| City | CRANSTON |
| State | RI |
| Zip Code | 02910-4448 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386649523 | Gerald Marsocci | Surgery | 725 Reservoir Ave, Ste 202, Cranston, RI 02910-4451 | 2005-06-15 |
| 1609346741 | Debra Lee Furtado | Nurse Practitioner | 725 Reservoir Ave, Cranston, RI 02910-4448 | 2018-12-02 |
| 1831591056 | Stephanie Jean Maciel | Physical Therapist | 725 Reservoir Ave, Suite 101, Cranston, RI 02910-4448 | 2014-09-18 |
| 1275955718 | Family Health & Sports Medicine LLC | Internal Medicine | 725 Reservoir Ave, Cranston, RI 02910-4448 | 2014-01-17 |
| 1700139854 | Robert P Sarni Md Inc | Family Medicine | 725 Reservoir Ave, Suite 103, Cranston, RI 02910-4448 | 2012-10-25 |
| 1871889899 | University Neurology, Inc. | Specialist | 725 Reservoir Ave, Suite 308, Cranston, RI 02910-4448 | 2011-06-28 |
| 1417253782 | Nathalia Doobay | Podiatrist | 725 Reservoir Ave, Suite 101, Cranston, RI 02910-4448 | 2011-02-04 |
| 1255664181 | Maria Lee Mariorenzi | Physical Therapist | 725 Reservoir Ave, Suite 101, Cranston, RI 02910-4448 | 2009-09-10 |
| 1245466390 | Penny Kadmon,m.d., Inc | Pediatrics | 725 Reservoir Ave, Suite 306, Cranston, RI 02910-4448 | 2009-06-03 |
| 1164677019 | Urologic Specialists of New England, LLC | Urology | 725 Reservoir Ave, Suite 104, Cranston, RI 02910-4448 | 2008-11-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417443441 | Luis Guzman | Durable Medical Equipment & Medical Supplies | 29 Rolfe Square, Cranston, MA 02910 | 2018-07-02 |
| 1023535010 | Sarah Pagliarini | Nurse Practitioner | 725 Reservoir Ave Ste 308, Cranston, RI 02910 | 2017-08-29 |
| 1861890105 | Marissa Falco | Counselor | 1471 Elmwood Avenue, Cranston, RI 02910 | 2014-12-19 |
| 1952702425 | Lauren Beth Shibley | Counselor | 825 Pontiac Avenue Apt 14101, Cranston, RI 02910 | 2014-09-15 |
| 1831516632 | Kelly Kilmartin | Counselor | 471 Elmwood Avenue, Cranston, RI 02910 | 2014-03-19 |
| 1376784827 | Michael Eric Schaffer | Counselor | 989 Reservoir Ave Ste 104, Cranston, RI 02910 | 2009-03-13 |
| 1639384829 | Dolores Maiello Ciambrone | Social Worker | 145 Harmon Ave, Cranston, RI 02910 | 2007-05-11 |
| 1750502241 | Mary Jane Boucher | Counselor | Codac Cranston, 1052 Park Ave, Cranston, RI 02910 | 2007-05-01 |
| 1134250715 | Michele Bailey Chaudhry | Social Worker | 935 Reservoir Ave, Cranston, RI 02910 | 2007-03-08 |
| 1487703658 | Karen M Mega | Dentist | 567 Reservoir Ave, Cranston, RI 02910 | 2007-01-09 |
| Find all providers in zip 02910 | ||||
| Taxonomy Code | 207ZP0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Anatomic Pathology |
| A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
| Notes: Source: American Board of Medical Specialties, 2007. [7/1/2007: definition added, source added, 7/1/2009: defintion reformatted; 7/1/2011: modified source] - Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/. American Osteopathic Board of Pathology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology (note: this taxonomy code identifies the "anatomic pathology only" route). To acknowledge the diverse activities in the practice of pathology and to accommodate the interests of individuals wanting to enter the field, the ABP offers primary certification through the following three routes: combined anatomic pathology and clinical pathology, anatomic pathology only and clinical pathology only. Primary certification in anatomic pathology or clinical pathology may be combined with some of the subspecialty certifications. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881667830 | Thomas C King | Pathology | 218 Bayview Ave, East Greenwich, RI 02818-4068 | 2006-02-09 |
| 1225012529 | Greg Baluyot Pizarro | Pathology | 647 Jefferson Blvd, Warwick, RI 02886-1318 | 2005-12-01 |
| 1588032486 | Liz Edmund | Pathology | 593 Eddy St, Providence, RI 02903-4923 | 2015-09-09 |
| 1508249392 | Mara Banks | Pathology | 593 Eddy St, Providence, RI 02903-4923 | 2015-06-30 |
| 1558781260 | Katelyn Dannheim Drew | Pathology | 593 Eddy Street, Apc 12, Providence, RI 02903-4923 | 2014-04-21 |
| 1790072296 | Calvin E Oyer | Pathology | 101 Dudley St, Providence, RI 02905-2401 | 2011-07-05 |
| 1952544264 | Ali Amin | Pathology | 593 Eddy St, Providence, RI 02903-4923 | 2009-04-16 |
| 1770756819 | Christopher Pope Elco | Pathology | 593 Eddy Street, Apc 12, Providence, RI 02903 | 2008-04-09 |
| 1306045554 | Robert S Bagdasaryan | Pathology | 455 Toll Gate Rd, Warwick, RI 02886-2759 | 2007-07-17 |
| 1225242407 | Urologic Specialists of New England, LLC | Pathology | 207 Quaker Lane, 1st Floor, West Warwick, RI 02893-2179 | 2007-05-09 |
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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.