Individual provider Active NPI

Won Sohn, M.D.

  • Gastroenterology Physician
  • Bayside, NY
National Provider Identifier
1689626103
Registry record updated Nov 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
207025 Issued in NY
Practice address
21333 39TH Ave Ste 248
Bayside, NY 11361-2092
Phone
(718) 428-5333
Fax
(718) 428-5332
NPI assigned
May 16, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 18, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 207025 NY
Gastroenterology Physician 207RG0100X 207025 NY Primary

Addresses

Primary practice location

21333 39TH Ave Ste 248
Bayside, NY 11361-2092

Mailing address

PO Box 605043
Bayside, NY 11360-5043
Phone (718) 428-5333

Other identifiers 1

IdentifierTypeStateIssuer
02088860MedicaidNY

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
I20100104000433 NY Practitioner - GastroenterologyPractitioner - Internal Medicine 2163563818 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
State University of New York Downstate Medical Center, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

21333 39TH Ave
Bayside, NY 11361-2092
Phone (718) 428-5333

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy37
Upper gastrointestinal (GI) endoscopy for acid reflux37

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Won Sohn, M.D.,P.C. CurrentSince Jun 12, 2011 Accepting new patients
Keystone Medical PC Gastroenterology CurrentSince Jan 1, 2025 Accepting new patients
Park Slope Medical Health Provider, PC Past Accepting new patients
Summit Medical PC PastSince Jun 6, 2011 Accepting new patients

Locations

21333 39th Ave
Ste 248
Bayside, NY 11361
Phone (718) 428-5333

7401 4th Ave
Brooklyn, NY 11209
Phone (718) 393-3844

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DAIDBA/Endpoint/DAIDBA
  • Direct secure messaging: wsohn@direct.nyp.org

Organizations & group practices 4

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": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321574400000",
    "number": "1689626103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 605043",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "113605043",
            "telephone_number": "718-428-5333",
            "fax_number": "718-428-5332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21333 39TH AVE STE 248",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "113612092",
            "telephone_number": "718-428-5333",
            "fax_number": "718-428-5332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOHN",
        "first_name": "WON",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-16",
        "last_updated": "2011-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "207025",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NY",
            "license": "207025",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02088860",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayside, NY

Sources for this page

Verify at the official NPI Registry.