Individual provider Active NPI

Sandy Yeum, MD

  • Obstetrics & Gynecology Physician
  • Livingston, NJ
National Provider Identifier
1487762050
Registry record updated Jul 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
MA727222 Issued in NJ
Practice address
75 E Northfield Rd
Livingston, NJ 07039-4532
Phone
(973) 436-1410
Fax
(973) 379-4724
NPI assigned
Aug 25, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X MA727222 NJ Primary

Addresses

Primary practice location

75 E Northfield Rd
Livingston, NJ 07039-4532

Mailing address

42 Lorraine Rd
Madison, NJ 07940-1325
Phone (973) 325-5670

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20040623000884 NJ Practitioner - Obstetrics/Gynecology 2264417195 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Summit Medical Group PAGroup PAC ID 5395642276, 1,204 clinicians

Practice addresses (Care Compare)

1 Diamond Hill Rd
Berkeley Heights, NJ 07922-2104
Phone (908) 273-4300

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA727222NJMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Summit Medical Group PA CurrentSince Mar 13, 2014 Accepting new patients
Summit Medical Group PA CurrentSince Mar 13, 2014 Accepting new patients
Summit Medical Group, Inc Obstetrics & Gynecology Past Accepting new patients

Locations

1 Diamond Hill Rd
Berkeley Heights, NJ 07922
Phone (908) 277-8868

75 E Northfield Rd
Livingston, NJ 07039
Phone (973) 436-1330

150 Floral Ave
New Providence, NJ 07974
Phone (908) 588-3890

Organizations & group practices 3

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": "1156464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562803200000",
    "number": "1487762050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42 LORRAINE RD",
            "city": "MADISON",
            "state": "NJ",
            "postal_code": "079401325",
            "telephone_number": "973-325-5670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 E NORTHFIELD RD",
            "city": "LIVINGSTON",
            "state": "NJ",
            "postal_code": "070394532",
            "telephone_number": "973-436-1410",
            "fax_number": "973-379-4724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YEUM",
        "first_name": "SANDY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-25",
        "last_updated": "2019-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NJ",
            "license": "MA727222",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Livingston, NJ

Sources for this page

Verify at the official NPI Registry.