Kyungsuk Yoo, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

DS039700 Issued in PA

Practice address

108 Town Green Dr
Elmsford, NY 10523-2325

Phone

(617) 599-6317

NPI assigned

Feb 9, 2012

Sex

Male

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

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

{
    "created_epoch": "1328745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473120000000",
    "number": "1992078737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 TOWN GREEN DR",
            "city": "ELMSFORD",
            "state": "NY",
            "postal_code": "105232325",
            "telephone_number": "617-599-6317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 TOWN GREEN DR",
            "city": "ELMSFORD",
            "state": "NY",
            "postal_code": "105232325",
            "telephone_number": "617-599-6317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOO",
        "first_name": "KYUNGSUK",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-02-09",
        "last_updated": "2016-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS039700",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1028460970001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Westchester Community Opportunity Program, Inc.
• Westchester Medical Care, PLLC
• Patricia A. Williams Clement
• Tansha Yancy, BSW
• Ronit Yazdan, PHD
• Leora Youssefzadeh, PA-C, CDCES
• Shin Yu
• Daisy Yunga Carpio, DPT
• Huan Sue Zhou, MD

• Dentist in Elmsford, NY
• Providers in Elmsford, NY by specialty
• Dentist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 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.

Verify at the official NPI Registry.