Individual provider Active NPI

Yun Jae Cho, DO

  • Family Medicine Physician
  • Flushing, NY
National Provider Identifier
1568826568
Registry record updated Jan 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
305092-01 Issued in NY
Practice address
3830 Parsons Blvd Ste 1D
Flushing, NY 11354-5841
Phone
(718) 762-1710
Fax
(718) 762-1753
NPI assigned
Apr 6, 2016
Last updated
Jan 31, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Family Medicine Physician 207Q00000X 305092-01 NY Primary

Addresses

Primary practice location

3830 Parsons Blvd Ste 1D
Flushing, NY 11354-5841

Mailing address

2518 Queens PLZ S
Long Island City, NY 11101-4101
Phone (646) 647-1261

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20201013003028 NY Practitioner - Family PracticePractitioner - Internal Medicine 6800216839 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2016
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

38 -34 Parsons Blvd
Suite 1D
Flushing, NY 11354-5841

3830 Parsons Blvd
Suite 1D
Flushing, NY 11354-5841
Phone (718) 762-1710

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10
Mastectomy1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Melanoma (skin cancer) excision1-10
Removal of nail tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
305092-01NYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Choi Medical Services PLLC CurrentSince Jul 2, 2023 Accepting new patients
Yun Jae Cho Medical PC CurrentSince May 31, 2022 Accepting new patients
Union Square Medical Imaging and Mammography PC PastSince Jul 2, 2023 Accepting new patients

Locations

3830 Parsons Blvd
Ste 1D
Flushing, NY 11354
Phone (718) 762-1710

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1459900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706659200000",
    "number": "1568826568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2518 QUEENS PLZ S",
            "city": "LONG ISLAND CITY",
            "state": "NY",
            "postal_code": "111014101",
            "telephone_number": "646-647-1261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3830 PARSONS BLVD STE 1D",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113545841",
            "telephone_number": "718-762-1710",
            "fax_number": "718-762-1753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHO",
        "first_name": "YUN",
        "middle_name": "JAE",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-04-06",
        "last_updated": "2024-01-31",
        "certification_date": "2024-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "305092-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, NY

Sources for this page

Verify at the official NPI Registry.