Active NPI
Hyun Jong Yoon, D.P.T.
- Orthopedic Physical Therapist
- Bayside, NY
National Provider Identifier
1780922591
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- 034532
- Practice address
- 215-19 39TH Ave
Bayside, NY 11361-2114 - Phone
- (718) 229-0707
- Fax
- (718) 229-0547
- NPI assigned
- Jan 29, 2013
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | 034532 | NY | Primary |
| Physical Therapist | 225100000X | NY |
Addresses
Primary practice location
215-19 39TH Ave
Bayside, NY 11361-2114
Mailing address
215-19 39TH Ave
Bayside, NY 11361-2114
Phone (718) 229-0707
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03757971 | Medicaid | NY | |
| A100092374 | Other | NY | MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2004
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
21519 39TH Ave
Bayside, NY 11361-2114
Phone (718) 229-0707
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 034532 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nick Yoon Physical Therapy P.C. | Physical Therapist | Current | Accepting new patients |
Locations
21519 39th Ave
Bayside, NY 11361
Phone (718) 229-0707
139 Centre St
Ste 505
New York, NY 10013
Phone (212) 274-9870
Networks
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H3359
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapy Clinic/Center
- New York, NY
- NPI 1710326772
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1359417600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1489104000000",
"number": "1780922591",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "215-19 39TH AVE",
"city": "BAYSIDE",
"state": "NY",
"postal_code": "113612114",
"telephone_number": "718-229-0707",
"fax_number": "718-229-0547"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "215-19 39TH AVE",
"city": "BAYSIDE",
"state": "NY",
"postal_code": "113612114",
"telephone_number": "718-229-0707",
"fax_number": "718-229-0547"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOON",
"first_name": "HYUN JONG",
"credential": "D.P.T.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-01-29",
"last_updated": "2017-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "NY",
"license": "034532",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "03757971",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "A100092374",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bayside, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.