Sung C Yim, MD

Primary specialty

SpecialistTaxonomy code 174400000X

License

124822 Issued in NY

Practice address

17 Forest Dr
Sands Point, NY 11050-1910

Phone

(516) 944-2470

NPI assigned

Jun 26, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Rockville Anesthesia Group LLP

  • Anesthesiology Physician
  • Rockville Centre, NY
  • NPI 1841303997
  NPD (past)

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

{
    "created_epoch": "1151280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1679500888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 FOREST DR",
            "city": "SANDS POINT",
            "state": "NY",
            "postal_code": "110501910",
            "telephone_number": "516-944-2470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 FOREST DR",
            "city": "SANDS POINT",
            "state": "NY",
            "postal_code": "110501910",
            "telephone_number": "516-944-2470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YIM",
        "first_name": "SUNG",
        "middle_name": "C",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "124822",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0436457",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Geraldine Calandrillo Schwartz, R.N
• Peter Lawrence Schwartz, M.D
• Corazon M Seguritan, M.D.
• Mariann Simms, PHARMD
• Michael White

• Specialist in Sands Point, NY
• Providers in Sands Point, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.