Individual provider Active NPI

Hyong Un, MD

  • Psychiatry Physician
  • Bryn Mawr, PA
National Provider Identifier
1598871683
Registry record updated May 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
MD027217E Issued in PA
Practice address
234 S Bryn Mawe Avenue
Suite 100
Bryn Mawr, PA 19010
Phone
(610) 544-6390
Fax
(610) 544-6390
NPI assigned
Aug 22, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 3, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X MD027217E PA Primary

Addresses

Primary practice location

234 S Bryn Mawe Avenue
Suite 100
Bryn Mawr, PA 19010

Mailing address

5101 Harmony CT
Doylestown, PA 18902-1468
Phone (610) 909-3238

Other identifiers 1

IdentifierTypeStateIssuer
0010919860002MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20160516000326 PA Order and Referring Only - PsychiatryPractitioner - Psychiatry 3476842493

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD027217EPAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lifepath, Inc. PastSince Dec 5, 2002 Accepting new patients

Organizations & group practices 1

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": "1156204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462233600000",
    "number": "1598871683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5101 HARMONY CT",
            "city": "DOYLESTOWN",
            "state": "PA",
            "postal_code": "189021468",
            "telephone_number": "610-909-3238",
            "fax_number": "267-867-3497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "234 S BRYN MAWE AVENUE",
            "address_2": "SUITE 100",
            "city": "BRYN MAWR",
            "state": "PA",
            "postal_code": "19010",
            "telephone_number": "610-544-6390",
            "fax_number": "610-544-6390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UN",
        "first_name": "HYONG",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-22",
        "last_updated": "2016-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "MD027217E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0010919860002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bryn Mawr, PA

Sources for this page

Verify at the official NPI Registry.