Active NPI
Sei Oung Yoon, MD
- Urology Physician
- Forest Hills, NY
National Provider Identifier
1407050446
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- 126733
- Practice address
- 100-25 Queens Boulevard
Forest Hills, NY 11375 - Phone
- (718) 544-9525
- Fax
- (718) 544-9019
- NPI assigned
- Jun 13, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | 126733 | NY | Primary |
| Urology Physician | 208800000X | 31568 | NJ | |
| Urology Physician | 208800000X | 17730E | PA |
Addresses
Primary practice location
100-25 Queens Boulevard
Forest Hills, NY 11375
Mailing address
100-25 Queens Boulevard
Suite #1CC
Forest Hills, NY 11375
Phone (718) 544-9525
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00248366 | Medicaid | NY |
Other names 1
- Dr. Richard Sei Oung Yoon
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 31568 | NJ | MD | Urology Physician |
| 126733 | NY | MD | Urology Physician |
| 17730E | PA | MD | Urology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181692800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1276646400000",
"number": "1407050446",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100-25 QUEENS BOULEVARD",
"address_2": "SUITE #1CC",
"city": "FOREST HILLS",
"state": "NY",
"postal_code": "11375",
"telephone_number": "718-544-9525",
"fax_number": "718-544-9019"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100-25 QUEENS BOULEVARD",
"city": "FOREST HILLS",
"state": "NY",
"postal_code": "11375",
"telephone_number": "718-544-9525",
"fax_number": "718-544-9019"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOON",
"first_name": "SEI OUNG",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-06-13",
"last_updated": "2010-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "NY",
"license": "126733",
"primary": true
},
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "NJ",
"license": "31568",
"primary": false
},
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "PA",
"license": "17730E",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00248366",
"state": "NY"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "RICHARD",
"last_name": "YOON",
"middle_name": "SEI OUNG",
"prefix": "DR.",
"credential": "MD",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Forest Hills, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2010; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.