Active NPIIndividual providerSole proprietor

Minsung Jeong, MSN, APRN, FNP-BC

Nurse Practitioner, Family in Fair Lawn, New Jersey

NPI Number1902636194
Practice location
22-02 Broadway Ste 301, Fair Lawn, NJ 07410-3016
Fax
—
Last updated
December 9, 2025

Minsung Jeong is a Nurse Practitioner, Family based in Fair Lawn, NJ. Minsung Jeong practices in Fair Lawn, NJ and has the professional credentials of MSN, APRN, FNP-BC. The NPI Number for Minsung Jeong is 1902636194 and holds a License No. 707868 (NY). The current practice location address for Minsung Jeong is 22-02 Broadway Ste 301, Fair Lawn, NJ 07410-3016 and can be reached out via phone at 201-414-5732.

Provider Profile Details

NPI Number
1902636194
Provider Name
Minsung Jeong
Credential
MSN, APRN, FNP-BC
Provider Entity Type
Individual
Gender
Female
Address
22-02 Broadway Ste 301, Fair Lawn, NJ 07410-3016
Phone Number
201-414-5732
Primary Taxonomy
Nurse Practitioner, Family · 363LF0000X
Sole Proprietor
Yes
Provider Enumeration Date
August 3, 2024
Last Update Date
December 9, 2025
Certification Date
December 9, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
22-02 Broadway Ste 301
Fair Lawn, NJ 07410-3016
Zip
07410-3016
Phone Number
201-414-5732
Fair Lawn, NJ 07410Get directions →

Provider Business Mailing Address Details

Address
22-02 Broadway Ste 301
Fair Lawn, NJ 07410-3016
City
Fair Lawn
State
NJ
Zip
07410-3016

License Information

License Number (1)
707868
License State (1)
NY
Taxonomy (1)
Registered Nurse · 163W00000X
License Number (2)
26NR24535600
License State (2)
NJ
Taxonomy (2)
Registered Nurse · 163W00000X
License Number (3)
354927
License State (3)
NY
Taxonomy (3)
Nurse Practitioner, Family · 363LF0000X
License Number (4)
26NJ15158300
License State (4)
NJ
Taxonomy (4)
Nurse Practitioner, Family · 363LF0000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Minsung Jeong, MSN, APRN, FNP-BC?

The NPI number of Minsung Jeong, MSN, APRN, FNP-BC is 1902636194. It was assigned on August 3, 2024 and is currently active in the NPPES registry.

What is the specialty of Minsung Jeong, MSN, APRN, FNP-BC?

Minsung Jeong, MSN, APRN, FNP-BC is registered under the primary taxonomy Nurse Practitioner, Family (code 363LF0000X), licensed in NY under license number 707868.

Where does Minsung Jeong, MSN, APRN, FNP-BC practice?

The practice location is 22-02 Broadway Ste 301, Fair Lawn, NJ 07410-3016. The office can be reached at 201-414-5732 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1902636194 directly on the NPPES registry website.

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