Individual provider Active NPI

Jane Young Yoo, MD, MPP

  • MOHS-Micrographic Surgery Physician
  • New York, NY
National Provider Identifier
1447571518
Registry record updated Aug 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X
License
262903 Issued in NY
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

Updated by the provider on Aug 2, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
25MA09738000OtherNJNJ STATE LICENSE
261951OtherMAMA STATE LICENSE
1225486624OtherNYPRACTICE NPI
1447571518OtherNPI
52761OtherCTCT STATE LICENSE
262903OtherNYNY STATE LICENSE
MD15086OtherRIRI 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151218000072 NY Practitioner - Dermatology 3779706395 Reassigns benefits to 3 organizations

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

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions29
Removal of skin cancer1-10
Skin biopsy16

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
262903NYMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
West 57TH Street Dermatology PLLC CurrentSince Oct 4, 2015 Accepting new patients
Jane Yoo, MD, PLLC Dermatology CurrentSince Aug 1, 2016 Accepting new patients
Laserderm Dermatology & Cosmetic Laser Surgery Past Accepting new patients
Derm Specs of PA PLLC Dermatology PastSince Feb 25, 2024 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

  • FHIR API: https://api.platform.athenahealth.com/15477/brand/1/csg/1/fhir/r4
  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.