Individual provider Active NPI

Youjin Hwang

  • Pharmacist
  • Fort Lee, NJ
National Provider Identifier
1952811671
Registry record updated Mar 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
28RI03779000 Issued in NJ
Practice address
1622 Parker Ave # 1a
Fort Lee, NJ 07024-6927
Phone
(201) 461-4646
Fax
(201) 461-4655
NPI assigned
Oct 8, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 30, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 28RI03779000 NJ Primary

Addresses

Primary practice location

1622 Parker Ave # 1a
Fort Lee, NJ 07024-6927

Mailing address

76 West Oakdene Ave
Unit B
Palisades Park, NJ 07650-1886
Phone (718) 309-0304

Other practice location 1

1625 Lemoine Ave Ste 1
Fort Lee, NJ 07024-5651
Phone (201) 461-4646

Other practice location 2

7 Broad Ave Ste 105
Palisades Park, NJ 07650-1886
Phone (201) 461-1111

Other identifiers 1

IdentifierTypeStateIssuer
103396483OtherNJCIGNA HEALTH INSURANCE

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

State licenses

LicenseStateTypeSpecialty
28RI03779000NJMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Jin Pharmacy LLC Current Accepting new patients
Bergen Care Pharmacy Inc Past Accepting new patients
Evergreen Pharmacy, Inc PastSince Dec 1, 2019 Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1507420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617062400000",
    "number": "1952811671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "76 WEST OAKDENE AVE",
            "address_2": "UNIT B",
            "city": "PALISADES PARK",
            "state": "NJ",
            "postal_code": "076501886",
            "telephone_number": "718-309-0304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1622 PARKER AVE # 1A",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "070246927",
            "telephone_number": "201-461-4646",
            "fax_number": "201-461-4655"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1625 Lemoine Ave Ste 1",
            "address_purpose": "LOCATION",
            "city": "Fort Lee",
            "state": "NJ",
            "postal_code": "070245651",
            "country_code": "US",
            "telephone_number": "201-461-4646",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7 Broad Ave Ste 105",
            "address_purpose": "LOCATION",
            "city": "Palisades Park",
            "state": "NJ",
            "postal_code": "076501886",
            "country_code": "US",
            "telephone_number": "201-461-1111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HWANG",
        "first_name": "YOUJIN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-10-08",
        "last_updated": "2021-03-30",
        "certification_date": "2021-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NJ",
            "license": "28RI03779000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA HEALTH INSURANCE",
            "identifier": "103396483",
            "state": "NJ"
        }
    ],
    "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 Mar 30, 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.