| Lance Jung, MD | |
|
1050 Clove Rd, Staten Island, NY 10301-3627 | |
| (718) 816-6440 | |
| (718) 816-3612 |
| Full Name | Lance Jung |
|---|---|
| Gender | Male |
| Speciality | General Surgery |
| Experience | 35 Years |
| Location | 1050 Clove Rd, Staten Island, New York |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053372003 | NPI | - | NPPES |
| 01825121 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 198410 (New York) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Richmond University Medical Center | Staten island, NY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Amboy Medical Practice, P.c. | 2860538170 | 157 |
| Entity Name | Amboy Medical Practice, P.c. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700037975 PECOS PAC ID: 2860538170 Enrollment ID: O20090930000024 |
| Mailing Address | Practice Location Address |
|---|---|
| Lance Jung, MD 55 Water St, 12th Fl. Credentialing, New York, NY 10041-0004 Ph: (646) 680-2888 | Lance Jung, MD 1050 Clove Rd, Staten Island, NY 10301-3627 Ph: (718) 816-6440 |
Tomasine Fodera, Surgery Medicare: Accepting Medicare Assignments Practice Location: 2235 Clove Rd, Staten Island, NY 10305 Phone: 718-815-8100 | |
Dr. Frederick Huie, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 110 Harvard Ave, Staten Island, NY 10301 Phone: 718-450-6979 | |
Maria Fodera, Surgery Medicare: Accepting Medicare Assignments Practice Location: 2235 Clove Rd, Staten Island, NY 10305 Phone: 718-815-8100 | |
Dr. Ireneo Valdes Albano, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 188 Ocean Ter, Staten Island, NY 10301 Phone: 718-816-7962 | |
Dr. Alfred Culliford, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 256 Mason Ave, Staten Island, NY 10305 Phone: 718-226-1270 | |
Dr. Anthony Kopatsis, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 3163 Hylan Blvd, Staten Island, NY 10306 Phone: 718-667-7009 Fax: 718-667-7514 |