Active NPI
Jerome W Yoo, PT
- Physical Medicine & Rehabilitation Physician
- Woodcliff Lake, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- 40QA00983200
- Practice address
- 123 Broadway
Woodcliff Lake, NJ 07677 - Phone
- (201) 746-9966
- NPI assigned
- Jan 20, 2006
- Last updated
- Dec 1, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | 40QA00983200 | NJ | Primary |
Addresses
Primary practice location
123 Broadway
Woodcliff Lake, NJ 07677
Mailing address
123 Broadway
Woodcliff Lake, NJ 07677-8038
Phone (201) 746-9966
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
8 Lackawanna PLZ
Suite a
Montclair, NJ 07042-3604
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Next Level Sports Physical Therapy, LLC | Current | Accepting new patients | |
| Maven Northeast Bergen, LLC | Past | Accepting new patients | |
| Peter Barnett & Howard J Phillips | Past | Accepting new patients | |
| NL Rehab & Performance, LLC | Physical Medicine & Rehabilitation | Past | Accepting new patients |
Locations
123 Broadway
Woodcliff Lake, NJ 07677
Phone (201) 642-2503
123 Broadway
Ste 1
Woodcliff Lk, NJ 07677
Phone (201) 746-9966
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Therapy Clinic/Center
- Woodcliff Lake, NJ
- NPI 1154875110
-
- Physical Therapist
- Cary, NC
- NPI 1619573854
-
- Physical Therapy Clinic/Center
- Palisades Park, NJ
- NPI 1023782323
-
- Physical Medicine & Rehabilitation Physician
- Woodcliff Lake, NJ
- NPI 1548769706
-
dba Suburban Therapy Center
- Physical Therapist
- Cedar Grove, NJ
- NPI 1376523605
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137715200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1638316800000",
"number": "1215917547",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "123 BROADWAY",
"city": "WOODCLIFF LAKE",
"state": "NJ",
"postal_code": "076778038",
"telephone_number": "201-746-9966"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "123 BROADWAY",
"city": "WOODCLIFF LAKE",
"state": "NJ",
"postal_code": "07677",
"telephone_number": "201-746-9966"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOO",
"first_name": "JEROME",
"middle_name": "W",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-01-20",
"last_updated": "2021-12-01",
"certification_date": "2021-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "NJ",
"license": "40QA00983200",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Woodcliff Lake, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2021; 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.