Active NPI
Thomas Youm MD LLC
- Sports Medicine (Orthopaedic Surgery) Physician
- Englewood, NJ
National Provider Identifier
1881456028
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Orthopaedic Surgery) Physician
- Legal business name
- THOMAS YOUM MD LLC
- Practice address
- 34 S Dean St Ste 202
Englewood, NJ 07631-3515 - Phone
- (212) 348-3636
- NPI assigned
- Jan 24, 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
- Thomas Youm, MD
- Title
- MD
- Phone
- (212) 348-3636
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Medicine (Orthopaedic Surgery) Physician | 207XX0005X | Primary | ||
| Durable Medical Equipment & Medical Supplies | 332B00000X |
Addresses
Primary practice location
34 S Dean St Ste 202
Englewood, NJ 07631-3515
Mailing address
PO Box 56
Ithaca, NY 14851-0056
Phone (212) 348-3636
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
34 S Dean St
Ste 202
Englewood, NJ 07631
Phone (212) 348-3636
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1706054400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1731456000000",
"number": "1881456028",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 56",
"city": "ITHACA",
"state": "NY",
"postal_code": "148510056",
"telephone_number": "212-348-3636"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "34 S DEAN ST STE 202",
"city": "ENGLEWOOD",
"state": "NJ",
"postal_code": "076313515",
"telephone_number": "212-348-3636"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THOMAS YOUM MD LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-01-24",
"last_updated": "2024-11-13",
"certification_date": "2024-11-13",
"status": "A",
"authorized_official_last_name": "YOUM",
"authorized_official_first_name": "THOMAS",
"authorized_official_title_or_position": "MD",
"authorized_official_telephone_number": "212-348-3636",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207XX0005X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Orthopaedic Surgery, Sports Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Englewood, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.