Yoon, Jing Ja

Yoon, Jing Ja is an sole proprietor health care provider with primary practice located at 1650 Grand Concourse , Bronx NY 10457-7606. She recently has 3 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Yoon, Jing Ja can be contacted via phone (718) 579-2658.

Contact Information

Primary practice address
1650 Grand Concourse Bronx NY 10457-7606
Phone: (718) 579-2658
Fax: (718) 579-2659
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 115516 New York
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 115516-1 New York
Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine 2080N0001X 115516-1 New York

Profile Details

NPI number 1841375854
LBN Legal business name Yoon, Jing Ja
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 26th, 2006
Last updated Apr 24th, 2012 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1841375854 NPPES
New York MEDICAID 00213350

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