Physician Compare National (NPI:1467663872)

HEALTHCARE PROVIDER: HONG SUN JEONG MD

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

Individual Professional Information
NPI	1467663872
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	4981623048
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20110620000544
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	JEONG
	Individual professional last name
Provider First Name	HONG
	Individual professional first name
Provider Gender	M
	The provider's gender if the provider is a person.
Provider Credential Text	MD
	The abbreviations for professional degrees or credentials used or held by the provider, if the provider is an individual. Examples are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations will not be verified by NPS.

Medical School Information
Medical School Name	UNIVERSITY OF SOUTH FLORIDA COLLEGE OF MEDICINE
	Individual professional's medical school
Graduation Year	2002
	Individual professional's medical school graduation year
Primary Specialty	CARDIOVASCULAR DISEASE (CARDIOLOGY)
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	INTERNAL MEDICINE
	First secondary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 2	NUCLEAR MEDICINE
	Second secondary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 3	PERIPHERAL VASCULAR DISEASE
	Third secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	INTERNAL MEDICINE, NUCLEAR MEDICINE, PERIPHERAL VASCULAR DISEASE
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Line 1 Street Address	1706 BERGLUND LN
	Group Practice or individual's line 1 address
City	MELBOURNE
	Group Practice or individual's city
State	FL
	Group Practice or individual's state
Zip Code	329406265
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	100315
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	VIERA HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	100177
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	CAPE CANAVERAL HOSPITAL
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	100019
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	HOLMES REGIONAL MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 3
Hospital Affiliation CCN 4	100291
	Medicare CCN of hospital where individual professional provides service 4
Hospital Affiliation LBN 4	STEWARD MELBOURNE HOSPITAL
	Legal business name of hospital where individual professional provides service 4
Hospital Affiliation CCN 5	100092
	Medicare CCN of hospital where individual professional provides service 5
Hospital Affiliation LBN 5	WUESTHOFF MEDICAL CENTER ROCKLEDGE
	Legal business name of hospital where individual professional provides service 5
Professional Accepts Medicare Assignment	Y

Physician Compare National (NPI:1467663872)

HEALTHCARE PROVIDER: HONG SUN JEONG MD

Individual Professional Information

Medical School Information

Practice Information

Hospital(s) Affiliation Information