Individual provider Active NPI

Jinsung Yoon, DPM

  • Foot & Ankle Surgery Podiatrist
  • Montrose, NY
National Provider Identifier
1396212247
Registry record updated Apr 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
25MD00382700 Issued in NJ
Practice address
2094 Albany Post Rd
Montrose, NY 10548-1454
Phone
(914) 737-4400
NPI assigned
Oct 30, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 25MD00382700 NJ Primary

Addresses

Primary practice location

2094 Albany Post Rd
Montrose, NY 10548-1454

Mailing address

2094 Albany Post Rd
Montrose, NY 10548-1454

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, NJ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20221229000983 TX Practitioner - Podiatry 5496125882 Reassigns benefits to 1 organization
I20241016004104 NJ Practitioner - Podiatry 5496125882 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Active Foot and Ankle Care LLCGroup PAC ID 4385667146, 3 clinicians

Practice addresses (Care Compare)

4 -14 Saddle River Rd
Suite 101
Fair Lawn, NJ 07410-5624
Phone (201) 791-1881

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue94
Removal or shaving of skin growth30
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3117TXMDMental Health Counselor
25MD00382700NJMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Back Office Management Services LLC CurrentSince Dec 1, 2022 Accepting new patients
Back Office Management Services LLC CurrentSince Dec 1, 2022 Accepting new patients
Active Foot & Ankle Care, LLC Foot & Ankle Surgery CurrentSince Aug 12, 2024 Accepting new patients

Locations

4-14 Saddle River Rd
Ste 101
Fair Lawn, NJ 07410
Phone (201) 569-7672

44 State Rt 23
Riverdale, NJ 07457
Phone (973) 839-5004

4200 Shepherd Ln
Mesquite, TX 75180
Phone (972) 286-0335

434 Paza Dr
Mesquite, TX 75149
Phone (972) 286-6489

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1540857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776124800000",
    "number": "1396212247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2094 ALBANY POST RD",
            "city": "MONTROSE",
            "state": "NY",
            "postal_code": "105481454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2094 ALBANY POST RD",
            "city": "MONTROSE",
            "state": "NY",
            "postal_code": "105481454",
            "telephone_number": "914-737-4400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOON",
        "first_name": "JINSUNG",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-10-30",
        "last_updated": "2026-04-14",
        "certification_date": "2026-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NJ",
            "license": "25MD00382700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montrose, NY

Sources for this page

Verify at the official NPI Registry.