Active NPI
Eui-Sun L. Yoon, M.D.
- Specialist
- Ridgewood, NJ
National Provider Identifier
1700944790
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 25MA03818300
- Practice address
- 589 Franklin Tpke
Suite 11
Ridgewood, NJ 07450-1989 - Phone
- (201) 444-9199
- Fax
- (201) 444-9121
- NPI assigned
- Dec 4, 2006
- 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 | 25MA03818300 | NJ | Primary |
Addresses
Primary practice location
589 Franklin Tpke
Suite 11
Ridgewood, NJ 07450-1989
Mailing address
39 Bentley Dr
Franklin Lakes, NJ 07417-1940
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA03818300 | NJ | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165190400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1700944790",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "39 BENTLEY DR",
"city": "FRANKLIN LAKES",
"state": "NJ",
"postal_code": "074171940"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "589 FRANKLIN TPKE",
"address_2": "SUITE 11",
"city": "RIDGEWOOD",
"state": "NJ",
"postal_code": "074501989",
"telephone_number": "201-444-9199",
"fax_number": "201-444-9121"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOON",
"first_name": "EUI-SUN",
"middle_name": "L.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-04",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NJ",
"license": "25MA03818300",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ridgewood, NJ
Sources for this page
- 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.