Flavia Fernandes Jung, M.D
Pediatrics in Watertown, NY. Individual provider (NPI-1).
NPI number1770699696
StatusActive
Last updated in NPPESFeb 14, 2020
Details
- NPI
- 1770699696
- Entity type
- Individual (NPI-1)
- Name
- Flavia Fernandes Jung
- Credential
- M.D
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 22, 2006
- Certification date
- Feb 14, 2020
- Last updated
- Feb 14, 2020
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Part B No · DME Yes · Home health No · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208000000X | Pediatrics | 212699 | NY | Yes |
| 2080P0210X | Pediatrics, Pediatric Nephrology | 2000-01601 | LA |
Other names
- Flavia Jung (Other Name)
Practice location
238 Arsenal StWatertown, NY 13601-2504
Phone 315-782-9450 · Fax 315-782-1330
Mailing address
238 Arsenal StWatertown, NY 13601-2504
Phone 315-782-9450 · Fax 315-782-1330
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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