Sung Koo Yun, MD

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

25MA05360700 Issued in NJ

Practice address

464 Hudson Ter Ste 203
2ND Floor
Englewood Cliffs, NJ 07632-2917

Phone

(201) 567-7725

Fax

(201) 567-5255

NPI assigned

Jul 17, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NJ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Gene Medical Group, LLC

  • Obstetrics & Gynecology Physician
  • Fort Lee, NJ
  • NPI 1871846154
  Medicare reassignment NPD
• Closter Internal Medicine, P.C.

  • Internal Medicine Physician
  • Closter, NJ
  • NPI 1467584284
  NPD (past)
• Pascack Valley Hospital

  • Clinic/Center
  • Englewood, NJ
  • NPI 1023043593
  NPD (past)
• Pascack Valley Hospital

  • General Acute Care Hospital
  • Westwood, NJ
  • NPI 1811992480
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1319500800000",
    "number": "1003833682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "464 HUDSON TER STE 203",
            "address_2": "2ND FLOOR",
            "city": "ENGLEWOOD CLIFFS",
            "state": "NJ",
            "postal_code": "076322917",
            "telephone_number": "201-567-7725",
            "fax_number": "201-567-5255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "464 HUDSON TER STE 203",
            "address_2": "2ND FLOOR",
            "city": "ENGLEWOOD CLIFFS",
            "state": "NJ",
            "postal_code": "076322917",
            "telephone_number": "201-567-7725",
            "fax_number": "201-567-5255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YUN",
        "first_name": "SUNG",
        "middle_name": "KOO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-17",
        "last_updated": "2011-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NJ",
            "license": "25MA05360700",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1303201",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• You G Ding
• Young Chiropractic P.C.
• Ys Physical Therapy / Best Pain Clinic
• Ys Physical Therapy P.C.
• William K Yu, D.C.
• Michele S Zic-Tuccino, LAC
• Barry M Zingler, M.D.
• Zion Acupuncture LLC

• Obstetrics & Gynecology Physician in Englewood Cliffs, NJ
• Providers in Englewood Cliffs, NJ by specialty
• Obstetrics & Gynecology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.