Physician Compare National (NPI:1255334132)

HEALTHCARE PROVIDER: SUNGJUN JOHN HWANG M.D.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1255334132
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	0749316842
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20100329000152
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	HWANG
	Individual professional last name
Provider First Name	SUNGJUN
	Individual professional first name
Provider Middle Name	J
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	WARREN ALPERT MEDICAL SCHOOL OF BROWN UNIVERSITY
	Individual professional's medical school
Graduation Year	1994
	Individual professional's medical school graduation year
Primary Specialty	OPHTHALMOLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	FINGER LAKES OPHTHALMOLOGY, PC
	Legal name of the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Group Practice PAC ID	9436140019
	Unique Group Practice ID assigned by PECOS to the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Number of Group Practice members	11
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	784 PRE EMPTION RD
	Group Practice or individual's line 1 address
City	GENEVA
	Group Practice or individual's city
State	NY
	Group Practice or individual's state
Zip Code	144562018
	Group Practice or individual's zip code (9 digits when available)
Phone Number	3157897337
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	330074
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	F F THOMPSON HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	330058
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	FINGER LAKE HEALTH-GENEVA GENERAL HOSPITAL
	Legal business name of hospital where individual professional provides service 2
Professional Accepts Medicare Assignment	Y