Jaesun Yoo, LIC. AC.

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

003396 Issued in NY

Practice address

450 Mamaroneck Ave Ste 414
Harrison, NY 10528

Phone

(914) 421-1001

Fax

(914) 421-1001

NPI assigned

Nov 29, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Jaesun Yoo Acupuncture PC

  • Acupuncturist
  • Harrison, NY
  • NPI 1558184507
  NPD Authorized official

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730764800000",
    "number": "1124195862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 MAMARONECK AVE STE 414",
            "city": "HARRISON",
            "state": "NY",
            "postal_code": "105282430",
            "telephone_number": "914-421-1001",
            "fax_number": "914-421-1001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 MAMARONECK AVE STE 414",
            "city": "HARRISON",
            "state": "NY",
            "postal_code": "10528",
            "telephone_number": "914-421-1001",
            "fax_number": "914-421-1001"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "70 Riverdale Ave Unit 901",
            "address_purpose": "LOCATION",
            "city": "Greenwich",
            "state": "CT",
            "postal_code": "068315059",
            "country_code": "US",
            "telephone_number": "617-833-3001",
            "fax_number": "914-421-1001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YOO",
        "first_name": "JAESUN",
        "credential": "LIC. AC.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-29",
        "last_updated": "2024-11-05",
        "certification_date": "2024-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "MA",
            "license": "230147",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "003396",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Lynn Wolman, O.D.
• Marissa Nicole Woodley, OTA, LMT
• Xiaodong Wang Acupuncture PLLC
• Y. Taubenfeld Physical Therapy PLLC
• James Richard Yeakel, LCSW
• Kelly Younghans
• Zachary Hirsch, DDS, PLLC
• Steven B Zelicof, M.D.
• Charlotte Zisman, M.D.
• Lauren Kimberly Zomick, PSYD

• Acupuncturist in Harrison, NY
• Providers in Harrison, NY by specialty
• Acupuncturist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.