Hyunchul R Yoo, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

049943 Issued in NY

Practice address

240 Jackson Ave
Syosset, NY 11791-4118

Phone

(516) 921-8260

Fax

(516) 921-8261

NPI assigned

Jul 18, 2011

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

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 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Yoo Dental P.C.

  • Dental Clinic/Center
  • Syosset, NY
  • NPI 1063039725
  NPD Authorized official

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

{
    "created_epoch": "1310947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593388800000",
    "number": "1346538980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 JACKSON AVE",
            "city": "SYOSSET",
            "state": "NY",
            "postal_code": "117914118",
            "telephone_number": "516-921-8260",
            "fax_number": "516-921-8261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 JACKSON AVE",
            "city": "SYOSSET",
            "state": "NY",
            "postal_code": "117914118",
            "telephone_number": "516-921-8260",
            "fax_number": "516-921-8261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOO",
        "first_name": "HYUNCHUL",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-07-18",
        "last_updated": "2020-06-29",
        "certification_date": "2020-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "049943",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vicky Yu Kei Yau, DDS
• Ronnie Yeh, P.T.
• Elizabeth Yim
• Joel Yohai, M.D.
• Yoo Dental P.C.
• Marianne Young, M.D.
• Jae Jeong Yu, SLP- M.A.,CFY
• Jenna Yu, DDS
• Namyi Yu, M.D.
• Natasha Zacek, MS ED.

• Dentist in Syosset, NY
• Providers in Syosset, NY by specialty
• Dentist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.