Active NPI
Jinsung Yoon, DPM
- Foot & Ankle Surgery Podiatrist
- Montrose, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- 25MD00382700
- 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
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 |
|---|---|---|---|---|
| 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, NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
| Procedure | Number of procedures |
|---|---|
| Removal of nail tissue | 94 |
| Removal or shaving of skin growth | 30 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3117 | TX | MD | Mental Health Counselor |
| 25MD00382700 | NJ | MD | Foot & Ankle Surgery Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Back Office Management Services LLC | Current | Accepting new patients | |
| Back Office Management Services LLC | Current | Accepting new patients | |
| Active Foot & Ankle Care, LLC | Foot & Ankle Surgery | Current | 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.
-
- Foot & Ankle Surgery Podiatrist
- Fair Lawn, NJ
- NPI 1538243076
-
- Podiatrist
- Balch Springs, TX
- NPI 1265739973
-
- Podiatrist
- Berea, KY
- NPI 1336652585
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.