Yun Jae Cho Medical PC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

YUN JAE CHO MEDICAL PC

Practice address

3830 Parsons Blvd Ste 1D
Flushing, NY 11354-5841

Phone

(187) 621-7107

Fax

(718) 762-1753

NPI assigned

Dec 30, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Yun Jae Cho, DONPI 1568826568

Title

President

Phone

(585) 975-9756

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Yun Jae Cho, DO

  • Family Medicine Physician
  • Flushing, NY
  • NPI 1568826568
  Medicare reassignment NPD Authorized official
• Alexander K. Choi, M.D.

  • Internal Medicine Physician
  • Flushing, NY
  • NPI 1104818640
  NPD (past)
• Nam Hee Om, M.D.

  • Internal Medicine Physician
  • Bronx, NY
  • NPI 1992891311
  NPD (past)
• Bo Kyong Shin, DPM

  • Podiatrist
  • Los Angeles, CA
  • NPI 1568769149

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1640822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706659200000",
    "number": "1679234702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3830 PARSONS BLVD STE 1D",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113545841",
            "telephone_number": "585-975-9756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3830 PARSONS BLVD STE 1D",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113545841",
            "telephone_number": "187-621-7107",
            "fax_number": "718-762-1753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YUN JAE CHO MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-30",
        "last_updated": "2024-01-31",
        "certification_date": "2024-01-31",
        "status": "A",
        "authorized_official_last_name": "CHO",
        "authorized_official_first_name": "YUN",
        "authorized_official_middle_name": "JAE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "585-975-9756",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yukun Acupuncture PC
• Yulin Medicine PLLC
• Yun & Chin-Tan Physicians PLLC
• Yun & Chin-Tan Physicians PLLC
• Yun Hee Chung MD PC
• David Kin Yun, DO
• Miriam Yun, P.A.
• Stella Yunayeva, FNP
• Lok Yung, M.D.
• Rebecca Yunusova

• Clinic/Center in Flushing, NY
• Providers in Flushing, NY by specialty
• Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.