Yoomi Jang

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

21510 Northern Blvd Ste 202
Bayside, NY 11361-3497

Phone

(718) 631-1034

Fax

(718) 631-1035

NPI assigned

Feb 26, 2021

Last updated

Feb 26, 2021By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Lifebridge Comprehensive Services, Inc

  • Early Intervention Provider Agency
  • Bayside, NY
  • NPI 1922495316
  NPD

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

{
    "created_epoch": "1614297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614297600000",
    "number": "1922692219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21510 NORTHERN BLVD STE 202",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "113613497",
            "telephone_number": "718-631-1034",
            "fax_number": "718-631-1035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21510 NORTHERN BLVD STE 202",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "113613497",
            "telephone_number": "718-631-1034",
            "fax_number": "718-631-1035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JANG",
        "first_name": "YOOMI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-26",
        "last_updated": "2021-02-26",
        "certification_date": "2021-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jenove James, OTR/L
• Sabrina James
• Valerie James
• Jamie Chan DDS PC
• Nodar Janas, M.D.
• Tirzah Jean
• Jenny Liaw, M.D. PLLC
• Jenny Ziavras SLP PC
• Kwangrang Jeong, ACUPUNCTURIST
• Jesse Ko, MD, PLLC

• Case Manager/Care Coordinator in Bayside, NY
• Providers in Bayside, NY by specialty
• Case Manager/Care Coordinator in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2021; 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.