Active NPI
Won Sohn, M.D.
- Gastroenterology Physician
- Bayside, NY
National Provider Identifier
1689626103
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 207025
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02088860 | Medicaid | NY |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Gastroenterology
- 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
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 37 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 37 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Won Sohn, M.D.,P.C. | Current | Accepting new patients | |
| Keystone Medical PC | Gastroenterology | Current | Accepting new patients |
| Park Slope Medical Health Provider, PC | Past | Accepting new patients | |
| Summit Medical PC | Past | 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
- https://fhir4.healow.com/fhir/r4/DAIDBA/Endpoint/DAIDBA
- 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.
-
- Medical Specialty Clinic/Center
- Bayside, NY
- NPI 1295025427
-
- Gastroenterology Physician
- Bayside, NY
- NPI 1508677873
-
- Anesthesiology Physician
- Bayside, NY
- NPI 1487939856
-
- Hematology & Oncology Physician
- Brooklyn, NY
- NPI 1255611919
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2011; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.