Organization Active NPI

C. J. Yoon, M.D., PC

Doing business as Rehabilitation Medical Center

  • Specialist
  • Merrillville, IN
National Provider Identifier
1356568745
Registry record updated Dec 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
C. J. YOON, M.D., PC
Doing business as
Rehabilitation Medical Center
Practice address
8701 Broadway
Merrillville, IN 46410-7035
Phone
(219) 738-5775
Fax
(219) 736-5856
NPI assigned
Apr 19, 2007
Last updated
Dec 3, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2019

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

Authorized official

Name
Dr. C.J. J Yoon, M.D., P.C.
Title
Owner
Phone
(219) 738-5775

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X NU Primary

Addresses

Primary practice location

8701 Broadway
Merrillville, IN 46410-7035

Mailing address

833 W Lincoln Hwy
Suite 200W
Schererville, IN 46375-1683
Phone (219) 934-5300

Other identifiers 1

IdentifierTypeStateIssuer
100340330MedicaidIN

Other names 1

  • Rehabilitation Medical Center Doing business as

National Provider Directory

National Provider Directory

Locations

833 W Lincoln Hwy
Ste 200W
Schererville, IN 46375

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1575331200000",
    "number": "1356568745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "833 W LINCOLN HWY",
            "address_2": "SUITE 200W",
            "city": "SCHERERVILLE",
            "state": "IN",
            "postal_code": "463751683",
            "telephone_number": "219-934-5300",
            "fax_number": "219-934-5389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8701 BROADWAY",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464107035",
            "telephone_number": "219-738-5775",
            "fax_number": "219-736-5856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "C. J. YOON, M.D., PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-19",
        "last_updated": "2019-12-03",
        "status": "A",
        "authorized_official_last_name": "YOON",
        "authorized_official_first_name": "C.J.",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "219-738-5775",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D., P.C."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100340330",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rehabilitation Medical Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Rehabilitation Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Merrillville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.