Active NPI
Young Seok
- Registered Nurse
- Hicksville, NY
National Provider Identifier
1376900274
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 558786
- Practice address
- 20 Jerusalem Ave
3Rd Floor
Hicksville, NY 11801-4980 - Phone
- (516) 719-3888
- NPI assigned
- Jan 22, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 558786 | NY | Primary |
Addresses
Primary practice location
20 Jerusalem Ave
3Rd Floor
Hicksville, NY 11801-4980
Mailing address
20 Jerusalem Ave
3Rd Floor
Hicksville, NY 11801-4980
Phone (516) 719-3888
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 558786 | NY | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1453420800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1463616000000",
"number": "1376900274",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20 JERUSALEM AVE",
"address_2": "3RD FLOOR",
"city": "HICKSVILLE",
"state": "NY",
"postal_code": "118014980",
"telephone_number": "516-719-3888"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20 JERUSALEM AVE",
"address_2": "3RD FLOOR",
"city": "HICKSVILLE",
"state": "NY",
"postal_code": "118014980",
"telephone_number": "516-719-3888"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SEOK",
"first_name": "YOUNG",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-01-22",
"last_updated": "2016-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NY",
"license": "558786",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hicksville, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.