Active NPI
Yonsei PMC Pain Management P C
- Physical Medicine & Rehabilitation Physician
- Palisades Park, NJ
National Provider Identifier
1770391567
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- Legal business name
- YONSEI PMC PAIN MANAGEMENT P C
- Practice address
- 232 Broad Ave Ste 206
Palisades Park, NJ 07650-1565 - Phone
- (201) 710-7986
- Fax
- (201) 710-7599
- NPI assigned
- Dec 25, 2024
- Last updated
- Dec 25, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jason Yoo, MD
- Title
- Owner
- Phone
- (201) 710-7986
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | NU | Primary |
Addresses
Primary practice location
232 Broad Ave Ste 206
Palisades Park, NJ 07650-1565
Mailing address
232 Broad Ave Ste 206
Palisades Park, NJ 07650-1565
Phone (201) 710-7986
Other names 1
- YONSEI PMC PAIN MANGEMENT P C
National Provider Directory
National Provider DirectoryLocations
232 Broad Ave
Ste 206
Palisades Park, NJ 07650
Phone (201) 710-7986
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Physical Medicine & Rehabilitation Physician
- Englewood, NJ
- NPI 1225348022
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1735084800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1735084800000",
"number": "1770391567",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "232 BROAD AVE STE 206",
"city": "PALISADES PARK",
"state": "NJ",
"postal_code": "076501565",
"telephone_number": "201-710-7986",
"fax_number": "201-710-7599"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "232 BROAD AVE STE 206",
"city": "PALISADES PARK",
"state": "NJ",
"postal_code": "076501565",
"telephone_number": "201-710-7986",
"fax_number": "201-710-7599"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "YONSEI PMC PAIN MANAGEMENT P C",
"organizational_subpart": "NO",
"enumeration_date": "2024-12-25",
"last_updated": "2024-12-25",
"certification_date": "2024-12-25",
"status": "A",
"authorized_official_last_name": "YOO",
"authorized_official_first_name": "JASON",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "201-710-7986",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "YONSEI PMC PAIN MANGEMENT P C",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Palisades Park, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 25, 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.