Individual provider Active NPI

Jennifer Betourney, MD

  • Radiation Oncology Physician
  • Forest Hills, NY
National Provider Identifier
1679070122
Registry record updated Aug 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
321145 Issued in NY
Practice address
9237 Metropolitan Ave Ste 101
Forest Hills, NY 11375-6623
Phone
(631) 751-3000
Fax
(631) 751-3000
NPI assigned
Apr 11, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 25, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X 321145 NY Primary

Addresses

Primary practice location

9237 Metropolitan Ave Ste 101
Forest Hills, NY 11375-6623

Mailing address

1 Research Rd
Ridge, NY 11961-2701
Phone (631) 751-3000

Other practice location 1

5 Perryridge Rd
Greenwich, CT 06830-4608
Phone (203) 863-3911

Other names 1

  • Jennifer Yoon Former name

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
I20230501002014 NY Practitioner - Radiation Oncology 5496110207 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
Rutgers, Robert Woood Johnson Medical School, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
TBHC Physician Services PCGroup PAC ID 9133265317, 111 clinicians
North Shore Hematology Oncology Associates PCGroup PAC ID 1456243641, 474 clinicians

Practice addresses (Care Compare)

121 Dekalb Ave
Brooklyn, NY 11201-5425
Phone (718) 250-8000

2330 Eastchester Rd
Bronx, NY 10469-5930
Phone (631) 751-3000

48 Route 25a
Smithtown, NY 11787-1431
Phone (631) 751-3000

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
321145NYMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
North Shore Hematology Oncology Associates PC CurrentSince Jun 1, 2023 Accepting new patients
TBHC Physician Services PC CurrentSince Jun 12, 2023 Accepting new patients
North Shore Hematology Oncology Associates PC Past Accepting new patients

Locations

2510 Westchester Ave
Bronx, NY 10461
Phone (718) 542-5805

2330 Eastchester Rd
Bronx, NY 10469
Phone (718) 228-0063

2236 Nostrand Ave
Brooklyn, NY 11210
Phone (347) 418-4437

121 DeKalb Ave
Brooklyn, NY 11201
Phone (718) 250-6604

172 Myrtle Ave
Brooklyn, NY 11201

447 Atlantic Ave
Brooklyn, NY 11217
Phone (718) 421-2131

15806 Northern Blvd
Flushing, NY 11358
Phone (718) 353-3688

9237 Metropolitan Ave
Ste 101
Forest Hills, NY 11375

9237 Metropolitan Ave
Forest Hills, NY 11375
Phone (718) 544-7994

8340 Woodhaven Blvd
Glendale, NY 11385
Phone (718) 441-0101

3016 30th Dr
Long Island City, NY 11102
Phone (718) 728-3376

1 Delaware Dr
New Hyde Park, NY 11042
Phone (516) 336-5255

1231 3rd Ave
New York, NY 10021

365 E Montauk Hwy
Patchogue, NY 11772
Phone (631) 654-7370

49 Route 347
Port Jefferson Station, NY 11776
Phone (631) 751-0000

1500 Route 112
Bldg 2
Port Jefferson Station, NY 11776
Phone (631) 626-4737

1500 Route 112
Bldg 4
Port Jefferson Station, NY 11776
Phone (631) 574-8354

118 N Country Rd
Prt Jefferson, NY 11777
Phone (631) 376-0055

1 Research Rd
Ridge, NY 11961

750 Old Country Rd
Riverhead, NY 11901

181 N Belle Mead Rd
Setauket, NY 11733
Phone (631) 444-0624

48 Route 25A
Smithtown, NY 11787
Phone (631) 862-3540

4771 Hylan Blvd
Staten Island, NY 10312
Phone (718) 948-8200

1050 Clove Rd
Staten Island, NY 10301
Phone (718) 816-6440

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989
  • 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1523404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692921600000",
    "number": "1679070122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 RESEARCH RD",
            "city": "RIDGE",
            "state": "NY",
            "postal_code": "119612701",
            "telephone_number": "631-751-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9237 METROPOLITAN AVE STE 101",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113756623",
            "telephone_number": "631-751-3000",
            "fax_number": "631-751-3000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5 Perryridge Rd",
            "address_purpose": "LOCATION",
            "city": "Greenwich",
            "state": "CT",
            "postal_code": "068304608",
            "country_code": "US",
            "telephone_number": "203-863-3911",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BETOURNEY",
        "first_name": "JENNIFER",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-04-11",
        "last_updated": "2023-08-25",
        "certification_date": "2023-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "NY",
            "license": "321145",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "YOON",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Forest Hills, NY

Sources for this page

Verify at the official NPI Registry.