Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Edward Jung

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1518617547

Dr. Edward Jung is a Pediatric Medicine in Hackensack, New Jersey. Qualified in 2022, 4 years ago. Licensed in New Jersey.

Years since qualifying
4
Licensed in
NJ
In the registry since
2022
Specialties on file
2

Practice location Address checks out

30 Prospect Ave
Hackensack, NJ 07601-1915
Phone: (515) 996-2000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 25MA12738400 (NJ)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1518617547
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 24, 2022
Last updated in NPPESJuly 8, 2025
Certification dateJuly 8, 2025
Mailing address5 Drayton Pl, Wayne, NJ 07470-4141

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPEDIATRIC MEDICINE
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Accepts Medicare assignment Not indicated

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