Ki Sook Yoo, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

MA59813 Issued in NJ

Practice address

21 Valley Rd
Stony Brook, NY 11790-1615

Phone

(201) 909-9898

Fax

(201) 845-0840

NPI assigned

Jul 3, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Ronald a Loewe,MD,PA

  • Medical Specialty Clinic/Center
  • Sea Isle City, NJ
  • NPI 1609935154
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1411689600000",
    "number": "1902835549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 VAN BUREN DR",
            "city": "PARAMUS",
            "state": "NJ",
            "postal_code": "076521337",
            "telephone_number": "201-909-9898",
            "fax_number": "201-845-0840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 VALLEY RD",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "117901615",
            "telephone_number": "201-909-9898",
            "fax_number": "201-845-0840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOO",
        "first_name": "KI",
        "middle_name": "SOOK",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-03",
        "last_updated": "2014-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NJ",
            "license": "MA59813",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0047104",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tiphannie Yin, D.M.D.
• Gigi Yuk CHI Yip, MD
• Henry Yip, MD
• Marc Yland, MD
• Brandon Floris Yonel, MD
• Yeon Jung Yoo, MD
• Diana Yu
• Hui Wen Yu, DDS
• Zhuo Lin Yu
• Kimberly Yuang

• Psychiatry Physician in Stony Brook, NY
• Providers in Stony Brook, NY by specialty
• Psychiatry Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2014; 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.