Individual provider Active NPI

Jason Jungsun Yoo, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Englewood, NJ
National Provider Identifier
1225348022
Registry record updated Jun 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
25MA87007500 Issued in NJ
Practice address
25 Rockwood PL Ste 220
Englewood, NJ 07631-4959
Phone
(201) 408-5151
Fax
(201) 408-5353
NPI assigned
Oct 14, 2010
Last updated
Jun 3, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 3, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 25MA87007500 NJ Primary

Addresses

Primary practice location

25 Rockwood PL Ste 220
Englewood, NJ 07631-4959

Mailing address

25 Rockwood PL Ste 220
Englewood, NJ 07631-4959
Phone (201) 408-5151

Other identifiers 1

IdentifierTypeStateIssuer
102577515MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20230830000895 NJ Practitioner - Physical Medicine and RehabilitationPractitioner - Other (Physician) 5193902997 Reassigns benefits to 2 organizations
Practice locations: Ridgefield, NJ

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Other, 1996
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

25 Rockwood PL
Suite 220
Englewood, NJ 07631-4959
Phone (201) 408-5151

784 Grand Ave
Suite 301
Ridgefield, NJ 07657-1043
Phone (484) 332-8052

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
97.38 of 100Reported as individual
Quality
94.91
Improvement activities
40
Cost
75.08

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25MA87007500NJMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
JC Physical Therapy LLC CurrentSince Sep 1, 2023 Accepting new patients
Palisades Park Pain & Rehabilitation Medicine, PA CurrentSince Oct 1, 2023 Accepting new patients
Dr. Yoo Rehab Clinic, P.C. CurrentSince May 9, 2023 Accepting new patients
Yonsei PMC Pain Management P C Physical Medicine & Rehabilitation Current Accepting new patients
Onelife Health LLC Physical Medicine & Rehabilitation CurrentSince Jul 3, 2024 Accepting new patients
Comprehensive Pain Therapy Center, PC PastSince Jan 1, 2024 Accepting new patients

Locations

25 Rockwood Pl
Ste 220
Englewood, NJ 07631
Phone (201) 408-5151

451 Schooleys Mountain Rd
Hackettstown, NJ 07840
Phone (757) 752-6549

784 Grand Ave
Ste 301
Ridgefield, NJ 07657
Phone (201) 944-1124

2 Stahuber Ave
Union, NJ 07083
Phone (800) 446-3300

1331 Lincoln Hwy
Levittown, PA 19056
Phone (267) 281-7671

Organizations & group practices 6

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.

Hospital & facility affiliations 2

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": "1287014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717372800000",
    "number": "1225348022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 ROCKWOOD PL STE 220",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "076314959",
            "telephone_number": "201-408-5151",
            "fax_number": "201-408-5353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 ROCKWOOD PL STE 220",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "076314959",
            "telephone_number": "201-408-5151",
            "fax_number": "201-408-5353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOO",
        "first_name": "JASON",
        "middle_name": "JUNGSUN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-10-14",
        "last_updated": "2024-06-03",
        "certification_date": "2024-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NJ",
            "license": "25MA87007500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102577515",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Englewood, NJ

Sources for this page

Verify at the official NPI Registry.