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

Suji Jeong

Individual provider Physical Therapist · NPI 1558607911

Suji Jeong is a Physical Therapist in Private Practice in Great Neck, New York. Qualified in 2014, 12 years ago. Practices with Sports Physical Therapy Occupational Therapy and Rehabilitation Servic, a 529-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in New York.

Years since qualifying
12
Licensed in
NY
In the registry since
2012
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Practice location Address checks out

475 Northern Blvd Ste 11
Great Neck, NY 11021-4802
Phone: (516) 829-0030
Fax: (516) 466-7723
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 14435 Roosevelt Ave Apt 2b, Flushing, NY 11354-6217 — (718) 514-5604

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 034204 (NY)

Record details

NPI number1558607911
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedDecember 12, 2012
Last updated in NPPESNovember 15, 2024
Certification dateNovember 15, 2024

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Sports Physical Therapy Occupational Therapy And Rehabilitation Servic — 529 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Great Neck