Individual provider Active NPI

Francis Yoo, D.O.

  • Neuromusculoskeletal Medicine & OMM Physician
  • New York, NY
National Provider Identifier
1053606822
Registry record updated Feb 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neuromusculoskeletal Medicine & OMM PhysicianTaxonomy code 204D00000X
License
273659 Issued in NY
Practice address
119 W 57TH St Ste 1520
New York, NY 10019-2401
Phone
(631) 594-7855
NPI assigned
Jun 9, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neuromusculoskeletal Medicine & OMM Physician 204D00000X 273659 NY Primary
Family Medicine Physician 207Q00000X 273659 NY

Addresses

Primary practice location

119 W 57TH St Ste 1520
New York, NY 10019-2401

Mailing address

119 W 57TH St Ste 1520
New York, NY 10019-2401

Other identifiers 1

IdentifierTypeStateIssuer
04238395MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective May 3, 2022 through May 3, 2028

Care Compare profile

Medicare Care Compare
Specialty
Osteopathic Manipulative Medicine
Education
New York College of Osteo Medicine of New York Institute of Technology, 2011
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

147 Beach Rd
Suite a
Westhampton Beach, NY 11978-1733

15 W Montauk Hwy
Suite 241
Hampton Bays, NY 11946-4001

240 Meeting House LN
Southampton, NY 11968-5090

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
273659NYMDNeuromusculoskeletal Medicine & OMM Physician

NPI Registry JSON

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

{
    "created_epoch": "1307577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644624000000",
    "number": "1053606822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 W 57TH ST STE 1520",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100192401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 W 57TH ST STE 1520",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100192401",
            "telephone_number": "631-594-7855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOO",
        "first_name": "FRANCIS",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-09",
        "last_updated": "2022-02-12",
        "certification_date": "2022-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204D00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": "NY",
            "license": "273659",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "273659",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04238395",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.