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

Jungyun Basham, NP

Individual provider Family Nurse Practitioner · NPI 1669023370

Jungyun Basham, NP is a Nurse Practitioner in Fresh Meadows, New York. Qualified in 2019, 7 years ago. Practices with Jewish Home Lifecare, Manhattan, an 11-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
7
Licensed in
NY
In the registry since
2019
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

7535 197th St
Fresh Meadows, NY 11366-1816
Phone: (718) 314-6965
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence F344725 (NY)

Record details

NPI number1669023370
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorYes
NPI enumeratedSeptember 24, 2019
Last updated in NPPESSeptember 24, 2019
Mailing address7535 197th St, Fresh Meadows, NY 11366-1816

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Jewish Home Lifecare, Manhattan — 11 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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