Active NPI
Timothy Yoon
- Pharmacist
- Ramsey, NJ
National Provider Identifier
1700480977
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 28RI04107800
- Practice address
- 535 E Crescent Ave
Ramsey, NJ 07446-2922 - Phone
- (201) 447-2020
- NPI assigned
- Nov 28, 2020
- Reactivated
- Feb 13, 2024
- Last updated
- Feb 22, 2024
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | 28RI04107800 | NJ | Primary |
Addresses
Primary practice location
535 E Crescent Ave
Ramsey, NJ 07446-2922
Mailing address
535 E Crescent Ave
Ramsey, NJ 07446-2922
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28RI04107800 | NJ | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1606521600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1708560000000",
"number": "1700480977",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "535 E CRESCENT AVE",
"city": "RAMSEY",
"state": "NJ",
"postal_code": "074462922"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "535 E CRESCENT AVE",
"city": "RAMSEY",
"state": "NJ",
"postal_code": "074462922",
"telephone_number": "201-447-2020"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOON",
"first_name": "TIMOTHY",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-11-28",
"last_updated": "2024-02-22",
"certification_date": "2024-02-22",
"deactivation_date": "2022-02-05",
"reactivation_date": "2024-02-13",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NJ",
"license": "28RI04107800",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ramsey, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.