Jane Yoo, MD, PLLC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

JANE YOO, MD, PLLC

Practice address

620 Park Ave
New York, NY 10065-6591

Phone

(617) 308-7994

NPI assigned

May 26, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Jane Yoo, MDNPI 1447571518

Title

Managing Director

Phone

(617) 308-7994

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/15477/brand/1/csg/1/fhir/r4

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jane Young Yoo, MD, MPP

  • MOHS-Micrographic Surgery Physician
  • New York, NY
  • NPI 1447571518

  Dermatology

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1464220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1225486624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 COLUMBUS PL APT S36D",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100198213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 PARK AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100656591",
            "telephone_number": "617-308-7994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JANE YOO, MD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-26",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "YOO",
        "authorized_official_first_name": "JANE",
        "authorized_official_title_or_position": "MANAGING DIRECTOR",
        "authorized_official_telephone_number": "617-308-7994",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology, Procedural Dermatology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NY LICENSE",
            "identifier": "262903",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nora Rani Jandhyala
• Lina H Jandorf, MA
• Jane Culley
• Jane Taylor MD PC
• Jane Yang Dental PC
• Eileen Margaret Janec, M.D.
• Claire Pearce Janek, PA
• Elizabeth Rae Janes, LMSW
• Janet C Waterhouse CP PHD LLC
• Janet Duffy, Licensed Mental Health Counseling, PLLC (Suite Three Psychotherapy)

• Dermatology Physician in New York, NY
• Providers in New York, NY by specialty
• Dermatology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.