Individual provider Active NPI

Edward Chung Yun, MD

  • Cardiovascular Disease Physician
  • Sleepy Hollow, NY
National Provider Identifier
1467478560
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
243857 Issued in NY
Practice address
362 N Broadway
Sleepy Hollow, NY 10591
Phone
(914) 269-1740
Fax
(914) 881-4013
NPI assigned
Jul 14, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A88479 CA
Internal Medicine Physician 207R00000X 243857 NY
Cardiovascular Disease Physician 207RC0000X 243857 NY Primary

Addresses

Primary practice location

362 N Broadway
Sleepy Hollow, NY 10591

Mailing address

150 White Plains Rd
Suite 200
Tarrytown, NY 10591-5535
Phone (914) 631-2895

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
I20090206000237 NY Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 3779580626 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Ohio State University College of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Shore-Lij Medical PCGroup PAC ID 3375701568, 6,374 clinicians

Practice addresses (Care Compare)

701 N Broadway
Sleepy Hollow, NY 10591-1020
Phone (914) 366-3000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.07 of 100Reported as apm
Quality
79.77
Promoting interoperability
88.77
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A88479CAMDInternal Medicine Physician
243857NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Montefiore Medical Center CurrentSince Jul 22, 2010 Accepting new patients
North Shore-Lij Medical PC Internal Medicine CurrentSince Nov 26, 2018 Accepting new patients
Montefiore Medical Center Internal Medicine CurrentSince Jul 22, 2010 Accepting new patients
Montefiore Medical Center Internal Medicine Past Accepting new patients
Usc Internal Medicine, Inc. Internal Medicine Past Accepting new patients

Locations

111 E 210th St
Bronx, NY 10467

300 Community Dr
Plandome, NY 11030

362 N Broadway
Ste 1
Sleepy Hollow, NY 10591

777 N Broadway
Ste 305
Sleepy Hollow, NY 10591
Phone (914) 366-6120

362 N Broadway
Ste 2
Sleepy Hollow, NY 10591
Phone (914) 631-2070

701 N Broadway
Sleepy Hollow, NY 10591
Phone (914) 366-3140

150 White Plains Rd
Ste 200
Tarrytown, NY 10591
Phone (914) 631-2895

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678

Interoperability endpoints

  • Direct secure messaging: eyun25206@northwell.direct-ci.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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1467478560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 WHITE PLAINS RD",
            "address_2": "SUITE 200",
            "city": "TARRYTOWN",
            "state": "NY",
            "postal_code": "105915535",
            "telephone_number": "914-631-2895",
            "fax_number": "914-631-0094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "362 N BROADWAY",
            "city": "SLEEPY HOLLOW",
            "state": "NY",
            "postal_code": "10591",
            "telephone_number": "914-269-1740",
            "fax_number": "914-881-4013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YUN",
        "first_name": "EDWARD",
        "middle_name": "CHUNG",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-14",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A88479",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "243857",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NY",
            "license": "243857",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sleepy Hollow, NY

Sources for this page

Verify at the official NPI Registry.