Individual provider Active NPI

Yoon S Yi, D.P.M.

  • Podiatrist
  • Flushing, NY
National Provider Identifier
1316967466
Registry record updated Aug 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
N005307 Issued in NY
Practice address
14223 37TH Ave
CF1
Flushing, NY 11354-6508
Phone
(718) 939-9858
NPI assigned
Jul 20, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 8, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X N005307 NY Primary
Podiatrist 213E00000X MD002497 NJ

Addresses

Primary practice location

14223 37TH Ave
CF1
Flushing, NY 11354-6508

Mailing address

14223 37TH Ave
CF1
Flushing, NY 11354-6508
Phone (718) 939-9858

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20080114000838 NY Practitioner - Podiatry 6204917446 Reassigns benefits to 1 organization
I20081230000360 NJ Practitioner - Podiatry 6204917446 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

14223 37TH Ave
Suite CF1
Flushing, NY 11354-6544
Phone (718) 939-9858

725 Grand Ave
Unit 101102
Ridgefield, NJ 07657-1045
Phone (201) 840-8105

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal of nail tissue941
Removal or shaving of skin growth872

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MD002497NJMDPodiatrist
N005307NYMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Foot Care of Flushing, P.C. Podiatrist CurrentSince Nov 14, 2007 Accepting new patients
NJ Foot Care of Flushing PC Podiatrist CurrentSince Jul 1, 2015 Accepting new patients

Locations

350 Engle St
Englewood, NJ 07631
Phone (201) 871-6073

725 Grand Ave
Ste 101102
Ridgefield, NJ 07657
Phone (718) 939-9858

725 Grand Ave
#101102
Ridgefield, NJ 07657

725 Grand Ave
Unit 101102
Ridgefield, NJ 07657
Phone (201) 840-8105

14223 37th Ave
Ste CF1
Flushing, NY 11354
Phone (718) 939-9858

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438992000000",
    "number": "1316967466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14223 37TH AVE",
            "address_2": "CF1",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113546508",
            "telephone_number": "718-939-9858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14223 37TH AVE",
            "address_2": "CF1",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113546508",
            "telephone_number": "718-939-9858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YI",
        "first_name": "YOON",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-20",
        "last_updated": "2015-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "N005307",
            "primary": true
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NJ",
            "license": "MD002497",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, NY

Sources for this page

Verify at the official NPI Registry.