Active NPI
Young Kyun Ro, MD
- Internal Medicine Physician
- Tuckahoe, NY
National Provider Identifier
1700982055
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 172773
- Practice address
- 1 Elm St
Parkway Plaza Medical Center
Tuckahoe, NY 10707 - Phone
- (914) 337-0606
- Fax
- (914) 337-6780
- NPI assigned
- Sep 15, 2006
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 172773 | NY | Primary |
Addresses
Primary practice location
1 Elm St
Parkway Plaza Medical Center
Tuckahoe, NY 10707
Mailing address
1 Elm St
Parkway Plaza Medical Center
Tuckahoe, NY 10707
Phone (914) 337-0606
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01414942 | Medicaid | NY | |
| 0D0715 | Other | NY | HEALTH NET |
| 3719700-001 | Other | NY | CIGNA |
| 4335805 | Other | NY | AETNA |
| 07E191 | Other | NY | EMPIRE BC / BS |
| WP505 | Other | NY | OXFORD |
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 |
|---|---|---|---|
| 172773 | NY | MD | Internal Medicine Physician |
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H3359
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158278400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1207872000000",
"number": "1700982055",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 ELM ST",
"address_2": "PARKWAY PLAZA MEDICAL CENTER",
"city": "TUCKAHOE",
"state": "NY",
"postal_code": "10707",
"telephone_number": "914-337-0606",
"fax_number": "914-337-6780"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 ELM ST",
"address_2": "PARKWAY PLAZA MEDICAL CENTER",
"city": "TUCKAHOE",
"state": "NY",
"postal_code": "10707",
"telephone_number": "914-337-0606",
"fax_number": "914-337-6780"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RO",
"first_name": "YOUNG",
"middle_name": "KYUN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-15",
"last_updated": "2008-04-11",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "172773",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01414942",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH NET",
"identifier": "0D0715",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "3719700-001",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4335805",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EMPIRE BC / BS",
"identifier": "07E191",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "WP505",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Tuckahoe, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.