Active NPI
Sam Sunghyun Yoon, MD
- Surgical Oncology Physician
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Oncology Physician
- License
- 220505
- Practice address
- 1275 York Ave
New York, NY 10065-6007 - Phone
- (212) 639-2000
- NPI assigned
- Dec 16, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 153441 | MA | |
| Surgical Oncology Physician | 2086X0206X | MD437995 | PA | |
| Surgical Oncology Physician | 2086X0206X | 220505 | NY | Primary |
Addresses
Primary practice location
1275 York Ave
New York, NY 10065-6007
Mailing address
633 3Rd Ave
New York, NY 10017-6706
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2005298 | Medicaid | MA | |
| 737593 | Other | MA | TUFTS HEALTH PLAN |
| J25978 | Other | MA | BCBS MA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Surgical Oncology
- Education
- University of California, San Diego School of Medicine, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
500 Grand Ave
Suite 1
Englewood, NJ 07631-4968
Phone (212) 342-8586
622 W 168TH St
New York, NY 10032-3720
Phone (212) 305-9876
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
| Melanoma (skin cancer) excision | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 153441 | MA | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Trustees of Columbia University in the City of New York | Surgery | Current | Accepting new patients |
| Trustees of Columbia University in the City of New York | Current | Accepting new patients | |
| Mskcc Surgery Group | Surgery | Current | Accepting new patients |
| New Jersey Medical and Health Associates,LLC | Current | Accepting new patients | |
| Memorial Sloan Kettering Cancer Center at Basking Ridge New Jersey | Surgical Oncology | Current | Accepting new patients |
| Columbia Doctors of New Jersey, P. C. | Current | Accepting new patients | |
| MSK Monmouth | Surgical Oncology | Current | Accepting new patients |
| Columbia Doctors of New Jersey, P. C. | Current | Accepting new patients | |
| The New York and Presbyterian Hospital | Past | Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients |
Locations
136 Mountainview Blvd
Basking Ridge, NJ 07920
Phone (908) 542-3000
500 Grand Ave
Fl 1
Englewood, NJ 07631
Phone (201) 227-1760
142 Palisade Ave
Ste 103
Jersey City, NJ 07306
Phone (201) 792-2727
150 Warren St
Jersey City, NJ 07302
Phone (201) 309-3000
480 Red Hill Rd
Middletown, NJ 07748
Phone (908) 542-3007
223 N Van Dien Ave
Ridgewood, NJ 07450
Phone (201) 447-8417
1275 York Ave
Ste H1209
New York, NY 10065
1275 York Ave
New York, NY 10065
Phone (212) 639-3813
633 3rd Ave
New York, NY 10017
205 E 64th St
New York, NY 10065
Phone (212) 639-3127
161 Fort Washington Ave
New York, NY 10032
Phone (212) 305-8559
622 W 168th St
New York, NY 10032
Phone (212) 305-4931
633 3rd Ave
Lbby 3
New York, NY 10017
Phone (848) 225-6000
Networks
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H9678
Interoperability endpoints
- https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/
- https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
Organizations & group practices 10
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.
-
- Surgery Physician
- New York, NY
- NPI 1508266347
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Ridgewood, NJ
- NPI 1144459991
-
- Medical Oncology Physician
- Basking Ridge, NJ
- NPI 1184637886
Surgical Oncology
-
- Internal Medicine Physician
- Hoboken, NJ
- NPI 1558673582
-
- Internal Medicine Physician
- New York, NY
- NPI 1699289488
-
- Orthopaedic Surgery Physician
- Englewood, NJ
- NPI 1184202822
-
- General Acute Care Hospital
- New York, NY
- NPI 1194832477
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Cortlandt Manor, NY
- NPI 1881659274
-
- General Acute Care Hospital
- New York, NY
- NPI 1144504044
-
- General Acute Care Hospital
- New York, NY
- NPI 1194832477
-
- General Acute Care Hospital
- Bronxville, NY
- NPI 1780196345
-
- General Acute Care Hospital
- New York, NY
- NPI 1952332801
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134691200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1428364800000",
"number": "1548246002",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "633 3RD AVE",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100176706"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1275 YORK AVE",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100656007",
"telephone_number": "212-639-2000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOON",
"first_name": "SAM",
"middle_name": "SUNGHYUN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-16",
"last_updated": "2015-04-07",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "MA",
"license": "153441",
"primary": false
},
{
"code": "2086X0206X",
"taxonomy_group": "",
"desc": "Surgery, Surgical Oncology",
"state": "PA",
"license": "MD437995",
"primary": false
},
{
"code": "2086X0206X",
"taxonomy_group": "",
"desc": "Surgery, Surgical Oncology",
"state": "NY",
"license": "220505",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2005298",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS HEALTH PLAN",
"identifier": "737593",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS MA",
"identifier": "J25978",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.