Individual provider Active NPI

Byoung Woo Yang, M.D.

  • Internal Medicine Physician
  • White Plains, NY
National Provider Identifier
1114017092
Registry record updated Sep 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
264837 Issued in NY
Practice address
34 S Broadway Ste 114
White Plains, NY 10601-4432
Phone
(914) 422-5712
Fax
(914) 422-5714
NPI assigned
Oct 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2018

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 017783 ME
Internal Medicine Physician 207R00000X MD430042 PA
Undersea and Hyperbaric Medicine (Preventive Medicine) Physician 2083P0011X 264837 NY
Internal Medicine Physician 207R00000X 264837 NY Primary

Addresses

Primary practice location

34 S Broadway Ste 114
White Plains, NY 10601-4432

Mailing address

34 S Broadway Ste 114
White Plains, NY 10601-4432
Phone (914) 422-5712

Other identifiers 4

IdentifierTypeStateIssuer
03523080MedicaidNY
264837OtherNYSTATE MEDICAL LICENSE
43463399MedicaidME
MD430042OtherPASTATE MEDICAL LICENSE

Other names 1

  • Dr. Byoung-Woo Yang Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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

Enrollment IDStateProvider typePAC IDDetails
I20130802000643 NY Practitioner - Internal Medicine 2365517497 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

34 S Broadway
Suite 114
White Plains, NY 10601-4432
Phone (914) 422-5712

Hospital & facility affiliations

  • Americare Certified Special Services, Inc Chha Home health agency, Brooklyn, NY, CCN 337290

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue12
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD430042PAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
By Wound Care Internal Medicine P.C. Internal Medicine CurrentSince Oct 6, 2017 Accepting new patients

Locations

34 S Broadway
Ste 114
White Plains, NY 10601
Phone (914) 422-5712

Interoperability endpoints

  • Direct secure messaging: byang@yourcarecommunity.org

Organizations & group practices 1

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536105600000",
    "number": "1114017092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 S BROADWAY STE 114",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106014432",
            "telephone_number": "914-422-5712",
            "fax_number": "914-422-5714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 S BROADWAY STE 114",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106014432",
            "telephone_number": "914-422-5712",
            "fax_number": "914-422-5714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YANG",
        "first_name": "BYOUNG",
        "middle_name": "WOO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-13",
        "last_updated": "2018-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "ME",
            "license": "017783",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD430042",
            "primary": false
        },
        {
            "code": "2083P0011X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Undersea and Hyperbaric Medicine",
            "state": "NY",
            "license": "264837",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "264837",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03523080",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE MEDICAL LICENSE",
            "identifier": "264837",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "43463399",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE MEDICAL LICENSE",
            "identifier": "MD430042",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BYOUNG-WOO",
            "last_name": "YANG",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in White Plains, NY

Sources for this page

Verify at the official NPI Registry.