Active NPI
By Wound Care Internal Medicine P.C.
Doing business as BY Medical Group
- Internal Medicine Physician
- White Plains, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 264837
- Legal business name
- BY WOUND CARE INTERNAL MEDICINE P.C.
- Doing business as
- BY Medical Group
- Practice address
- 34 S Broadway Ste 114
White Plains, NY 10601 - Phone
- (914) 422-5712
- Fax
- (914) 422-5714
- NPI assigned
- Jan 13, 2017
- Last updated
- Sep 5, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Byoung Woo Yang, M.D.
- Title
- President
- Phone
- (914) 422-5712
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 264837 | NY | Primary |
| Undersea and Hyperbaric Medicine (Preventive Medicine) Physician | 2083P0011X | 264837 | NY |
Addresses
Primary practice location
34 S Broadway Ste 114
White Plains, NY 10601
Mailing address
34 S Broadway Ste 114
White Plains, NY 10601-4432
Phone (914) 422-5712
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 264837 | Other | NY | MEDICAL LICENSE |
| 03523080 | Medicaid | NY |
Other names 1
- BY Medical Group
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 33D2130019 | By Wound Care Internal Medicine PC | Provider-performed microscopy | Apr 30, 2027 |
National Provider Directory
National Provider DirectoryLocations
34 S Broadway
Ste 114
White Plains, NY 10601
Phone (914) 422-5712
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Internal Medicine Physician
- White Plains, NY
- NPI 1114017092
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1484265600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1536105600000",
"number": "1205372216",
"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": "10601",
"telephone_number": "914-422-5712",
"fax_number": "914-422-5714"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BY WOUND CARE INTERNAL MEDICINE P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2017-01-13",
"last_updated": "2018-09-05",
"status": "A",
"authorized_official_last_name": "YANG",
"authorized_official_first_name": "BYOUNG",
"authorized_official_middle_name": "WOO",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "914-422-5712",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "264837",
"primary": true
},
{
"code": "2083P0011X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Undersea and Hyperbaric Medicine",
"state": "NY",
"license": "264837",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LICENSE",
"identifier": "264837",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "03523080",
"state": "NY"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "BY Medical Group",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "BY Medical Group",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in White Plains, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.