Active NPI
Sung Wook Yoon
- Chiropractor
- College Point, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- X013242
- Practice address
- 349A Soundview LN FL 1
College Point, NY 11356-1167 - Phone
- (347) 401-3886
- NPI assigned
- May 22, 2019
- Last updated
- Nov 18, 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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | X013242 | NY | Primary |
Addresses
Primary practice location
349A Soundview LN FL 1
College Point, NY 11356-1167
Mailing address
349A Soundview LN FL 1
College Point, NY 11356-1167
Phone (347) 401-3886
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, NJ
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- New York Chiropractic College, 2017
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
370 Lexington Ave
RM 312
New York, NY 10017-6564
Phone (347) 401-3886
845 Broad Ave
Ridgefield, NJ 07657-1055
Phone (201) 840-5411
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| X013242 | NY | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Swy Chiropractic P.C. | Current | Accepting new patients | |
| Spinal Wellness Chiropractic P.C. | Current | Accepting new patients | |
| Ny Spinal Wellness Chiropractic PC | Chiropractor | Current | Accepting new patients |
Locations
129 W 27th St
Ste 801
New York, NY 10001
Phone (212) 286-9800
303 5th Ave
Rm 703
New York, NY 10016
Phone (347) 401-3886
370 Lexington Ave
Rm 312
New York, NY 10017
Phone (212) 286-9800
Organizations & group practices 3
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.
-
- Clinic/Center
- New York, NY
- NPI 1053020818
-
- Pain Clinic/Center
- Ridgefield, NJ
- NPI 1114671328
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1558483200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1637193600000",
"number": "1275190670",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "349A SOUNDVIEW LN FL 1",
"city": "COLLEGE POINT",
"state": "NY",
"postal_code": "113561167",
"telephone_number": "347-401-3886"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "349A SOUNDVIEW LN FL 1",
"city": "COLLEGE POINT",
"state": "NY",
"postal_code": "113561167",
"telephone_number": "347-401-3886"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOON",
"first_name": "SUNG",
"middle_name": "WOOK",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-05-22",
"last_updated": "2021-11-18",
"certification_date": "2021-11-18",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NY",
"license": "X013242",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in College Point, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 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.