Steven Jaekyoung Yeun, PT,DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40QA02225700 Issued in NJ

Practice address

300 Winston Dr Apt 407
Cliffside Park, NJ 07010-3211

Phone

(201) 803-8609

NPI assigned

Nov 22, 2023

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Hudson Pro Orthopaedics and Sports MedicineGroup PAC ID 1557582327, 13 clinicians

Healthspan Healthcare Services LLCGroup PAC ID 8022424563, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/DJAICA

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.

• Healthspan Healthcare Services LLC

  • Rehabilitation Clinic/Center
  • Somerset, NJ
  • NPI 1639762024

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Hudson Pro Orthopaedics and Sports Medicine

  • Specialist
  • Hoboken, NJ
  • NPI 1023425279
  Medicare reassignment Care Compare group NPD
• Ku Rehab and Fitness LLC

  • Physical Therapy Clinic/Center
  • Somerset, NJ
  • NPI 1518319722

  Physical Therapist

  NPD

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

{
    "created_epoch": "1700611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700611200000",
    "number": "1417722158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 WINSTON DR APT 407",
            "city": "CLIFFSIDE PARK",
            "state": "NJ",
            "postal_code": "070103211",
            "telephone_number": "201-803-8609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 WINSTON DR APT 407",
            "city": "CLIFFSIDE PARK",
            "state": "NJ",
            "postal_code": "070103211",
            "telephone_number": "201-803-8609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YEUN",
        "first_name": "STEVEN",
        "middle_name": "JAEKYOUNG",
        "name_prefix": "Dr.",
        "credential": "PT,DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-11-22",
        "last_updated": "2023-11-22",
        "certification_date": "2023-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA02225700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Qingyang Xu, LMSW
• Geraldine Yalong
• Donghyun Yang, RPH
• Yas Help Services
• Nana Yenukashvili
• You Are Not Alone Veterans Foundation Inc
• Solhee Yu

• Physical Therapist in Cliffside Park, NJ
• Providers in Cliffside Park, NJ by specialty
• Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2023; 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.