Mr Youngsik Jeong, LAC is a
Physical Therapist based in Bronx, New York. Mr Youngsik Jeong is licensed to practice in New York (license number 055493-01) and his current practice location is
3060 E Tremont Ave, Bronx, New York. He can be reached at his office (for appointments etc.) via phone at
(718) 931-0818.
NPI number for Mr Youngsik Jeong is 1003501982 and his current mailing address is 19780f Peck Ave, Fresh Meadows, New York. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1003501982.
Healthcare Provider's Profile
| Full Name | Mr Youngsik Jeong |
|---|
| Gender | Male |
|---|
| Speciality | Physical Therapist |
|---|
| Location | 3060 E Tremont Ave, Bronx, New York |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1003501982
- Provider Enumeration Date: 04/06/2023
- Last Update Date: 02/18/2026
Medical Identifiers
Medical identifiers for Mr Youngsik Jeong such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1003501982 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 171100000X | Acupuncturist | 7261 (New York) | Secondary |
| 225100000X | Physical Therapist | 055493-01 (New York) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Youngsik Jeong is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Mr Youngsik Jeong, LAC 19780f Peck Ave, Fresh Meadows, NY 11365-2878 Ph: (929) 383-3192 | Mr Youngsik Jeong, LAC 3060 E Tremont Ave, Bronx, NY 10461-5726 Ph: (718) 931-0818 |
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