Active NPI
Grace Hyun, MD
- Specialist
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 223431
- Practice address
- 3959 Broadway
Suite 219
New York, NY 10032-1559 - Phone
- (212) 305-8510
- NPI assigned
- Jan 23, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 223431 | NY | Primary |
Addresses
Primary practice location
3959 Broadway
Suite 219
New York, NY 10032-1559
Mailing address
3959 Broadway
Suite 219
New York, NY 10032-1559
Phone (212) 305-8510
Other identifiers 9
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 22343101 | Other | NY | COMMUNITY PREMIER PLUS |
| 4C9877 | Other | NY | HEALTHNET |
| 002671043 | Medicaid | NY | |
| 4S0841 | Other | NY | EBCBS |
| 562522505 | Other | NY | 1199 |
| 7463687 | Other | NY | AETNA PPO |
| 1301254 | Other | NY | CIGNA |
| 3985685 | Other | NY | AETNA HMO |
| P3618737 | Other | NY | OXFORD |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | ghyun217356@nyumc.direct-ci.com |
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 223431 | NY | MD | Specialist |
Practice roles
Locations
2601 Ocean Pkwy
Brooklyn, NY 11235
Phone (718) 616-5354
7901 Broadway
Rm A119
Elmhurst, NY 11373
Phone (718) 334-3915
7901 Broadway
Rm A19
Elmhurst, NY 11373
Phone (718) 334-3380
7901 Broadway
Flushing, NY 11373
Phone (718) 334-2156
638 Columbus Ave
New York, NY 10024
Phone (212) 523-8672
150 E 32nd St
New York, NY 10016
Phone (212) 263-8610
5 E 98th St
Fl 5
New York, NY 10029
Phone (212) 241-8234
506 Malcolm X Blvd
New York, NY 10037
Phone (212) 939-1000
Networks
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H9678
Organizations & group practices 18
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.
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- NPI 1750647152
-
- Registered Dietitian
- New York, NY
- NPI 1013375526
-
- Anesthesiology Physician
- Elmhurst, NY
- NPI 1063766038
-
- Surgery Physician
- Elmhurst, NY
- NPI 1073867040
-
- Internal Medicine Physician
- Elmhurst, NY
- NPI 1184977324
-
- Cardiovascular Disease Physician
- Elmhurst, NY
- NPI 1417201484
-
- Oral & Maxillofacial Surgery (D.M.D.)
- Elmhurst, NY
- NPI 1437403409
-
- Pediatrics Physician
- Elmhurst, NY
- NPI 1518211580
-
- Obstetrics & Gynecology Physician
- Elmhurst, NY
- NPI 1578817540
-
- Diagnostic Radiology Physician
- Elmhurst, NY
- NPI 1619221686
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169510400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1618185600000",
"number": "1699829630",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3959 BROADWAY",
"address_2": "SUITE 219",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100321559",
"telephone_number": "212-305-8510"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3959 BROADWAY",
"address_2": "SUITE 219",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100321559",
"telephone_number": "212-305-8510"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HYUN",
"first_name": "GRACE",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-23",
"last_updated": "2021-04-12",
"certification_date": "2021-04-12",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NY",
"license": "223431",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COMMUNITY PREMIER PLUS",
"identifier": "22343101",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHNET",
"identifier": "4C9877",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "002671043",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EBCBS",
"identifier": "4S0841",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "1199",
"identifier": "562522505",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA PPO",
"identifier": "7463687",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "1301254",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA HMO",
"identifier": "3985685",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "P3618737",
"state": "NY"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "ghyun217356@nyumc.direct-ci.com",
"affiliation": "N",
"address_1": "3959 Broadway",
"address_2": "SUITE 219",
"city": "New York",
"state": "NY",
"country_code": "US",
"postal_code": "100321559",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2021; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.