Organization Active NPI

Yonsei PMC Pain Management P C

  • Physical Medicine & Rehabilitation Physician
  • Palisades Park, NJ
National Provider Identifier
1770391567
Registry record updated Dec 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
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, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 25, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Jason Yoo, MDNPI 1225348022
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)CodeLicenseStatePrimary
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 Former legal business name

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.