Active NPI
Steven Hyunjoon Yoo, D.O.
- Internal Medicine Physician
- Westborough, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 269662
- Practice address
- 1400 Computer Dr Ste 301
Westborough, MA 01581 - Phone
- (617) 420-5316
- NPI assigned
- Jul 2, 2012
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Internal Medicine Physician | 207R00000X | 269662 | MA | Primary |
Addresses
Primary practice location
1400 Computer Dr Ste 301
Westborough, MA 01581
Mailing address
1400 Computer Dr Ste 301
Westborough, MA 01581-1790
Phone (670) 421-5316
Other practice location 1
1 Jarrett White Rd
Tripler Army Medical Center
Tripler Army Medical Center, HI 96859-5001
Phone (808) 433-6661
Other practice location 2
90 Vandenberg Dr Bldg 1900
Hanscom AFB, MA 01731-2104
Phone (781) 225-6789
Other practice location 3
10 Dorrance St Ste 700
Providence, RI 02903-2014
Phone (833) 229-0957
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 269662 | MA | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Reliant Medical Group, Inc | Internal Medicine | Current | Accepting new patients |
Interoperability endpoints
- syoo@landmarkhealth-direct.org
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.
-
- General Practice Physician
- Westborough, MA
- NPI 1841739489
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1341187200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1578009600000",
"number": "1669736872",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1400 COMPUTER DR STE 301",
"city": "WESTBOROUGH",
"state": "MA",
"postal_code": "015811790",
"telephone_number": "670-421-5316",
"fax_number": "844-803-8107"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1400 COMPUTER DR STE 301",
"city": "WESTBOROUGH",
"state": "MA",
"postal_code": "01581",
"telephone_number": "617-420-5316"
}
],
"practiceLocations": [
{
"address_1": "1 Jarrett White Rd",
"address_2": "Tripler Army Medical Center",
"address_purpose": "LOCATION",
"city": "Tripler Army Medical Center",
"state": "HI",
"postal_code": "968595001",
"country_code": "US",
"telephone_number": "808-433-6661",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "90 Vandenberg Dr Bldg 1900",
"address_purpose": "LOCATION",
"city": "Hanscom AFB",
"state": "MA",
"postal_code": "017312104",
"country_code": "US",
"telephone_number": "781-225-6789",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "10 Dorrance St Ste 700",
"address_purpose": "LOCATION",
"city": "Providence",
"state": "RI",
"postal_code": "029032014",
"country_code": "US",
"telephone_number": "833-229-0957",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "YOO",
"first_name": "STEVEN",
"middle_name": "HYUNJOON",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-07-02",
"last_updated": "2020-01-03",
"certification_date": "2020-01-03",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MA",
"license": "269662",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Westborough, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2020; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.