Active NPI
Jane Young Yoo, MD, MPP
- MOHS-Micrographic Surgery Physician
- New York, NY
National Provider Identifier
1447571518
On this page
Key facts
NPPES NPI Registry- Primary specialty
- MOHS-Micrographic Surgery Physician
- License
- 262903
- Practice address
- 162 W 56TH St Ste 304-305
New York, NY 10019-3831 - Phone
- (646) 844-0424
- Fax
- (646) 344-1053
- NPI assigned
- Jun 11, 2010
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | 52761 | CT | |
| Dermatology Physician | 207N00000X | 262903 | NY | |
| MOHS-Micrographic Surgery Physician | 207ND0101X | 262903 | NY | Primary |
Addresses
Primary practice location
162 W 56TH St Ste 304-305
New York, NY 10019-3831
Mailing address
162 W 56TH St Ste 304-305
New York, NY 10019-3831
Phone (646) 844-0424
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 25MA09738000 | Other | NJ | NJ STATE LICENSE |
| 261951 | Other | MA | MA STATE LICENSE |
| 1225486624 | Other | NY | PRACTICE NPI |
| 1447571518 | Other | NPI | |
| 52761 | Other | CT | CT STATE LICENSE |
| 262903 | Other | NY | NY STATE LICENSE |
| MD15086 | Other | RI | RI STATE LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Dermatology
- Education
- Virginia Commonwealth University, School of Medicine, 2010
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
162 W 56TH St
Suite 304 305
New York, NY 10019-3831
Phone (646) 844-0424
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
| Removal of skin lesions | 29 |
| Removal of skin cancer | 1-10 |
| Skin biopsy | 16 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 262903 | NY | MD | Dermatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| West 57TH Street Dermatology PLLC | Current | Accepting new patients | |
| Jane Yoo, MD, PLLC | Dermatology | Current | Accepting new patients |
| Laserderm Dermatology & Cosmetic Laser Surgery | Past | Accepting new patients | |
| Derm Specs of PA PLLC | Dermatology | Past | Accepting new patients |
Locations
162 W 56th St
Ste 304305
New York, NY 10019
Phone (646) 844-0424
14 Harwood Ct
Ste 217
Scarsdale, NY 10583
Phone (914) 447-2410
Networks
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
Interoperability endpoints
- https://api.platform.athenahealth.com/15477/brand/1/csg/1/fhir/r4
- jane.yoo.1@15477.direct.athenahealth.com
Organizations & group practices 5
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.
-
- Dermatology Physician
- New York, NY
- NPI 1225486624
-
- Specialist
- Scarsdale, NY
- NPI 1518185727
-
- Dermatology Physician
- New York, NY
- NPI 1134349954
-
- Dermatopathology Physician
- Smithtown, NY
- NPI 1942150131
-
- Dermatology Physician
- Philadelphia, PA
- NPI 1528823507
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1276214400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1690934400000",
"number": "1447571518",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "162 W 56TH ST STE 304-305",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100193831",
"telephone_number": "646-844-0424",
"fax_number": "646-344-1053"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "162 W 56TH ST STE 304-305",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100193831",
"telephone_number": "646-844-0424",
"fax_number": "646-344-1053"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOO",
"first_name": "JANE",
"middle_name": "YOUNG",
"name_prefix": "Dr.",
"credential": "MD, MPP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-06-11",
"last_updated": "2023-08-02",
"certification_date": "2023-08-02",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "CT",
"license": "52761",
"primary": false
},
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "NY",
"license": "262903",
"primary": false
},
{
"code": "207ND0101X",
"taxonomy_group": "",
"desc": "Dermatology, MOHS-Micrographic Surgery",
"state": "NY",
"license": "262903",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NJ STATE LICENSE",
"identifier": "25MA09738000",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MA STATE LICENSE",
"identifier": "261951",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PRACTICE NPI",
"identifier": "1225486624",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1447571518",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CT STATE LICENSE",
"identifier": "52761",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NY STATE LICENSE",
"identifier": "262903",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RI STATE LICENSE",
"identifier": "MD15086",
"state": "RI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2023; 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.