Individual provider Active NPI

Sung Wook Yoon

  • Chiropractor
  • College Point, NY
National Provider Identifier
1275190670
Registry record updated Nov 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X013242 Issued in NY
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, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 18, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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, NJ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20220111001243 NY Practitioner - Chiropractic 0345632949 Reassigns benefits to 1 organization
Practice locations: College Point, NY
I20220223000050 NJ Practitioner - Chiropractic 0345632949 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
X013242NYMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Swy Chiropractic P.C. CurrentSince Feb 1, 2023 Accepting new patients
Spinal Wellness Chiropractic P.C. CurrentSince Feb 7, 2022 Accepting new patients
Ny Spinal Wellness Chiropractic PC Chiropractor CurrentSince Dec 14, 2025 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.

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.

Verify at the official NPI Registry.