Organization Active NPI

By Wound Care Internal Medicine P.C.

Doing business as BY Medical Group

  • Internal Medicine Physician
  • White Plains, NY
National Provider Identifier
1205372216
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
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, 2018By the provider in NPPES
Organization subpart
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

Authorized official

Name
Dr. Byoung Woo Yang, M.D.NPI 1114017092
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
264837OtherNYMEDICAL LICENSE
03523080MedicaidNY

Other names 1

  • BY Medical Group Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170616000710 NY Part B Supplier - Clinic/Group Practice 9133497175 Receives reassigned benefits from 1 practitioner
Practice locations: White Plains, NY

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D2130019By Wound Care Internal Medicine PC34 S Broadway - Suite 114, White Plains, NY 10601Provider-performed microscopyApr 30, 2027

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.