Active NPI
Myong Yi
- Specialist
- Fort Lee, NJ
National Provider Identifier
1952768061
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- Practice address
- 1475 Bergen Blvd Ste 5
Fort Lee, NJ 07024-2164 - Phone
- (201) 314-6079
- Fax
- (201) 944-2391
- NPI assigned
- Jan 20, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | Primary |
Addresses
Primary practice location
1475 Bergen Blvd Ste 5
Fort Lee, NJ 07024-2164
Mailing address
1475 Bergen Blvd Ste 5
Fort Lee, NJ 07024-2164
Phone (201) 314-6079
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ms Footstop Inc. | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Durable Medical Equipment & Medical Supplies
- Fort Lee, NJ
- NPI 1235596776
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1453248000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1453248000000",
"number": "1952768061",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1475 BERGEN BLVD STE 5",
"city": "FORT LEE",
"state": "NJ",
"postal_code": "070242164",
"telephone_number": "201-314-6079",
"fax_number": "201-944-2391"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1475 BERGEN BLVD STE 5",
"city": "FORT LEE",
"state": "NJ",
"postal_code": "070242164",
"telephone_number": "201-314-6079",
"fax_number": "201-944-2391"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YI",
"first_name": "MYONG",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-01-20",
"last_updated": "2016-01-20",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Lee, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.