Active NPI
Tae S. Yoo, M.D.
- Psychiatry Physician
- Bronx, NY
National Provider Identifier
1003991241
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 140696
- Practice address
- 6355 Broadway
Bronx, NY 10471-2701 - Phone
- (718) 796-4424
- NPI assigned
- Oct 26, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 140696 | NY | Primary |
Addresses
Primary practice location
6355 Broadway
Bronx, NY 10471-2701
Mailing address
171 Park Hill Ave
Yonkers, NY 10705-1419
Phone (914) 423-2320
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161820800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1003991241",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "171 PARK HILL AVE",
"city": "YONKERS",
"state": "NY",
"postal_code": "107051419",
"telephone_number": "914-423-2320",
"fax_number": "914-969-3643"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6355 BROADWAY",
"city": "BRONX",
"state": "NY",
"postal_code": "104712701",
"telephone_number": "718-796-4424"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOO",
"first_name": "TAE",
"middle_name": "S.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-26",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NY",
"license": "140696",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.