Sora Yoon MD LLC

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

Legal business name

SORA YOON MD LLC

Practice address

1051 W Sherman Ave BLDG 2
Vineland, NJ 08360-6931

Phone

(856) 451-9395

NPI assigned

Jul 12, 2017

Organization subpart

No

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

Authorized official

Name

Betty Gandy

Title

Credentialing & Billing Manager

Phone

(856) 451-9395

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sora Yoon, MD

  • Specialist
  • Holmdel, NJ
  • NPI 1679771935
  Medicare reassignment NPD

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

{
    "created_epoch": "1499817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1499817600000",
    "number": "1477075448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 144",
            "city": "BRIDGETON",
            "state": "NJ",
            "postal_code": "083020109",
            "telephone_number": "856-451-9395",
            "fax_number": "856-451-8615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1051 W SHERMAN AVE BLDG 2",
            "city": "VINELAND",
            "state": "NJ",
            "postal_code": "083606931",
            "telephone_number": "856-451-9395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SORA YOON MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-12",
        "last_updated": "2017-07-12",
        "status": "A",
        "authorized_official_last_name": "GANDY",
        "authorized_official_first_name": "BETTY",
        "authorized_official_title_or_position": "CREDENTIALING & BILLING MANAGER",
        "authorized_official_telephone_number": "856-451-9395"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah J. Song, DO, MS
• Woo Kwang Song, M.D.
• Chirag Soni, DO
• Marc Quentin Sonnier Jr., DO
• Ruchi Sood, M.D.
• Giselle Sosa
• Yolise Sosa
• Kenlly J Soto Balbuena
• South Jersey ASC, LLC
• South Jersey Center for Orthopedics & Sports Medicine

• Pain Medicine (Anesthesiology) Physician in Vineland, NJ
• Providers in Vineland, NJ by specialty
• Pain Medicine (Anesthesiology) Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.