Active NPI
Sang W. Yoo, M.D. and Associates
- Psychiatry Physician
- Nutley, NJ
National Provider Identifier
1487774386
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- MA32883
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1579801 | Medicaid | NJ |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Psychiatric/Mental Health Clinical Nurse Specialist
- Nutley, NJ
- NPI 1871056069
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.