Organization Active NPI

Sang W. Yoo, M.D. and Associates

  • Psychiatry Physician
  • Nutley, NJ
National Provider Identifier
1487774386
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
MA32883 Issued in NJ
Legal business name
SANG W. YOO, M.D. AND ASSOCIATES
Practice address
245 Hillside Ave
Nutley, NJ 07110-1629
Phone
(973) 667-8800
Fax
(973) 284-1100
NPI assigned
Apr 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Sang W. Yoo, M.D.
Title
President
Phone
(973) 667-8800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X MA32883 NJ Primary

Addresses

Primary practice location

245 Hillside Ave
Nutley, NJ 07110-1629

Mailing address

245 Hillside Ave
Nutley, NJ 07110-1629
Phone (973) 667-8800

Other identifiers 1

IdentifierTypeStateIssuer
1579801MedicaidNJ

National Provider Directory

National Provider Directory

Locations

245 Hillside Ave
Nutley, NJ 07110
Phone (973) 662-1776

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1487774386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "245 HILLSIDE AVE",
            "city": "NUTLEY",
            "state": "NJ",
            "postal_code": "071101629",
            "telephone_number": "973-667-8800",
            "fax_number": "973-284-1100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "245 HILLSIDE AVE",
            "city": "NUTLEY",
            "state": "NJ",
            "postal_code": "071101629",
            "telephone_number": "973-667-8800",
            "fax_number": "973-284-1100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANG W. YOO, M.D. AND ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "YOO",
        "authorized_official_first_name": "SANG",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "973-667-8800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NJ",
            "license": "MA32883",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1579801",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Nutley, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.