Yongs Wig Salon,Inc

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

License

1580119145924 Issued in FL

Legal business name

YONGS WIG SALON,INC

Practice address

1834 US Highway 1
Rockledge, FL 32955-2822

Phone

(321) 638-8832

Fax

(321) 631-8022

NPI assigned

Apr 15, 2015

Last updated

Sep 27, 2019By the provider in NPPES

Organization subpart

Yes

Parent organization

YONGS WIG SALON ,INCAs reported in NPPES

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

Authorized official

Name

Yong S CorcoranNPI 1083969760

Title

President

Phone

(321) 638-8832

Specialties & licenses 3

Addresses

Other names 1

• Yongs Mastectomy Products Other name

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Part of

Yongs Wig Saloninc

Locations

Networks

• Freedom Health HMO NetworkPlans: Freedom Platinum Rewards Plan Rx (HMO) (H5427-102-000, H5427); Freedom VIP Care (HMO C-SNP) (H5427-070-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-108-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-099-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-107-000, H5427); Freedom Máximo (HMO-POS) (H5427-113-000, H5427); Freedom Savings Plan (HMO) (H5427-052-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-096-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-105-000, H5427); Freedom Medi-Medi Full (HMO D-SNP) (H5427-087-000, H5427)…
• Optimum HealthCare HMO NetworkPlans: Optimum Diamond Rewards (HMO C-SNP) (H5594-028-000, H5594); Optimum Diamond (HMO C-SNP) (H5594-036-000, H5594); Optimum Diamond Rewards (HMO C-SNP) (H5594-034-000, H5594); Optimum Diamond Rewards COPD (HMO C-SNP) (H5594-029-000, H5594); Optimum Platinum Plan (HMO) (H5594-002-000, H5594); Optimum Gold Plus Plan (HMO) (H5594-032-000, H5594); Optimum Diamond Savings COPD (HMO C-SNP) (H5594-031-000, H5594); Optimum Diamond Savings (HMO C-SNP) (H5594-030-000, H5594); Optimum Diamond Rewards COPD (HMO C-SNP) (H5594-035-000, H5594)

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.

• Yong Son Corcoran

  • Contractor
  • Rockledge, FL
  • NPI 1083969760
  NPD Authorized official

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

{
    "created_epoch": "1429056000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1569542400000",
    "number": "1376939462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1834 US HIGHWAY 1",
            "city": "ROCKLEDGE",
            "state": "FL",
            "postal_code": "329552822",
            "telephone_number": "321-638-8832",
            "fax_number": "321-631-8022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1834 US HIGHWAY 1",
            "city": "ROCKLEDGE",
            "state": "FL",
            "postal_code": "329552822",
            "telephone_number": "321-638-8832",
            "fax_number": "321-631-8022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YONGS WIG SALON,INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "YONGS WIG SALON ,INC",
        "enumeration_date": "2015-04-15",
        "last_updated": "2019-09-27",
        "status": "A",
        "authorized_official_last_name": "CORCORAN",
        "authorized_official_first_name": "YONG",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "321-638-8832"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": "FL",
            "license": "1580119145924",
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "FL",
            "license": "1580119145924",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Yongs Mastectomy Products",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Yongs Mastectomy Products",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Wuesthoff Memorial Hospital Inc
• Mackenzie Brooke Yancey
• Tai Fung Yang, M.D.
• Stephanie Yarde
• Virginia Yauchzy, LMHC
• Girgis Younan, RPH
• Cheryl Elizabeth Young, PA C
• Megan Anne Zabaroni
• Brendan A Zachar, A.P.
• Robert Zagoren, MD

• Prosthetic/Orthotic Supplier in Rockledge, FL
• Providers in Rockledge, FL by specialty
• Prosthetic/Orthotic Supplier in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.