Individual provider Active NPI

Joseph Sae Hyun Pyun, M.D.

  • Orthopaedic Surgery of the Spine Physician
  • Brooklyn, NY
National Provider Identifier
1578990669
Registry record updated Jan 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X
License
282853 Issued in NY
Practice address
506 5TH Ave
#2FF
Brooklyn, NY 11215-4812
Phone
(212) 882-1110
Fax
(212) 882-1120
NPI assigned
Oct 3, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 20, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery of the Spine Physician 207XS0117X 282853 NY Primary
Orthopaedic Surgery of the Spine Physician 207XS0117X 25MA09868400 NJ

Addresses

Primary practice location

506 5TH Ave
#2FF
Brooklyn, NY 11215-4812

Mailing address

506 5TH Ave
#2FF
Brooklyn, NY 11215-4812
Phone (212) 882-1110

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 1, 2025 through Jan 1, 2027

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA09868400NJMDOrthopaedic Surgery of the Spine Physician
282853NYMDOrthopaedic Surgery of the Spine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ijkg Opco LLC Current Accepting new patients
Galileo Technologies LLC PastSince Mar 7, 2021 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: joseph.pyun@direct.bayonnemedicalcenter.md

Organizations & group practices 2

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": "1380758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484870400000",
    "number": "1578990669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "506 5TH AVE",
            "address_2": "#2FF",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112154812",
            "telephone_number": "212-882-1110",
            "fax_number": "212-882-1120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "506 5TH AVE",
            "address_2": "#2FF",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112154812",
            "telephone_number": "212-882-1110",
            "fax_number": "212-882-1120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PYUN",
        "first_name": "JOSEPH",
        "middle_name": "SAE HYUN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-10-03",
        "last_updated": "2017-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "NY",
            "license": "282853",
            "primary": true
        },
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "NJ",
            "license": "25MA09868400",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.