Active NPI
C. J. Yoon, M.D., PC
Doing business as Rehabilitation Medical Center
- Specialist
- Merrillville, IN
National Provider Identifier
1356568745
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- 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, 2019
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100340330 | Medicaid | IN |
Other names 1
- Rehabilitation Medical Center
National Provider Directory
National Provider DirectoryLocations
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.
-
- Family Nurse Practitioner
- Merrillville, IN
- NPI 1316947070
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.