Active NPI
Sangweon Aum, PH.D.
- Behavior Analyst
- Bronx, NY
National Provider Identifier
1821478728
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 000744-1
- Practice address
- 1225 Morris Park Ave
Bronx, NY 10461-1949 - Phone
- (917) 403-0221
- NPI assigned
- Jun 5, 2015
- 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 |
|---|---|---|---|---|
| Intellectual & Developmental Disabilities Psychologist | 103TM1800X | 021077-1 | NY | |
| Behavior Analyst | 103K00000X | 000744-1 | NY | Primary |
Addresses
Primary practice location
1225 Morris Park Ave
Bronx, NY 10461-1949
Mailing address
1225 Morris Park Ave
Bronx, NY 10461-1949
Phone (917) 403-0221
Other practice location 1
1970 52nd St
Brooklyn, NY 11204-1731
Phone (718) 360-9548
Other practice location 2
2535 Victory Blvd
Staten Island, NY 10314-6613
Phone (929) 810-3771
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000744-1 | NY | MD | Psychoanalyst |
| 021077-1 | NY | MD | Intellectual & Developmental Disabilities Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Montefiore Medical Center | Current | Accepting new patients | |
| Montefiore Medical Center | Current | Accepting new patients | |
| Buckeye Behavioral Consulting Inc | Past | Accepting new patients |
Locations
111 E 210th St
Bronx, NY 10467
1225 Morris Park Ave
Bronx, NY 10461
Phone (718) 430-8500
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
Interoperability endpoints
- saum@montefioredirect.com
Organizations & group practices 3
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.
-
- Anesthesiology Physician
- Bronx, NY
- NPI 1063525152
-
- Community/Retail Pharmacy
- Bronx, NY
- NPI 1194183715
-
- Clinic/Center
- Beavercreek, OH
- NPI 1902369309
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1433462400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1712793600000",
"number": "1821478728",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1225 MORRIS PARK AVE",
"city": "BRONX",
"state": "NY",
"postal_code": "104611949",
"telephone_number": "917-403-0221"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1225 MORRIS PARK AVE",
"city": "BRONX",
"state": "NY",
"postal_code": "104611949",
"telephone_number": "917-403-0221"
}
],
"practiceLocations": [
{
"address_1": "1970 52nd St",
"address_purpose": "LOCATION",
"city": "Brooklyn",
"state": "NY",
"postal_code": "112041731",
"country_code": "US",
"telephone_number": "718-360-9548",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2535 Victory Blvd",
"address_purpose": "LOCATION",
"city": "Staten Island",
"state": "NY",
"postal_code": "103146613",
"country_code": "US",
"telephone_number": "929-810-3771",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "AUM",
"first_name": "SANGWEON",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-06-05",
"last_updated": "2024-04-11",
"certification_date": "2024-04-11",
"status": "A"
},
"taxonomies": [
{
"code": "103TM1800X",
"taxonomy_group": "",
"desc": "Psychologist, Intellectual & Developmental Disabilities",
"state": "NY",
"license": "021077-1",
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "NY",
"license": "000744-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.