Yl 77 Medical LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

YL 77 MEDICAL LLC

Doing business as

Beverly Hills Rejuvenation Center

Practice address

650 Union Blvd Ste 1B
Totowa, NJ 07512-2422

Phone

(201) 597-0285

NPI assigned

Dec 28, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Kyon Hood, MD

Title

President

Phone

(201) 597-0285

Specialties & licenses 1

Addresses

Other names 1

• Beverly Hills Rejuvenation Center Doing business as

Locations

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

{
    "created_epoch": "1703721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703721600000",
    "number": "1619746922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "650 UNION BLVD STE 1B",
            "city": "TOTOWA",
            "state": "NJ",
            "postal_code": "075122422",
            "telephone_number": "201-597-0285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 UNION BLVD STE 1B",
            "city": "TOTOWA",
            "state": "NJ",
            "postal_code": "075122422",
            "telephone_number": "201-597-0285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YL 77 MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-28",
        "last_updated": "2023-12-28",
        "certification_date": "2023-12-28",
        "status": "A",
        "authorized_official_last_name": "HOOD",
        "authorized_official_first_name": "KYON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-597-0285",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Beverly Hills Rejuvenation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tiffany Ann Wiegers, OTR/L
• Irene Wong, D.O.
• Christopher Feng Wu, MD
• Kacie Yip
• Izik Yitzhaki, M.D.

• Clinic/Center in Totowa, NJ
• Providers in Totowa, NJ by specialty
• Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.