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SOYOUNG AHN MD
NPI 1063108447
Student in an Organized Health Care Education/Training Program in Newburgh, NY

Active since April 18, 2023PECOS Enrolled
70 DUBOIS ST, NEWBURGH, NY 12550(845) 561-4400(845) 568-2614 Get Directions Write a Review

NPPES record last updated: April 18, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Soyoung Ahn Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOYOUNG AHN MD (NPI 1063108447) is an individual student in an organized health care education/training program in Newburgh, New York and active in the NPI registry since April 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1063108447
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameSOYOUNG AHNCredential: MD
Location Address70 DUBOIS STNewburgh, NY 12550-4851
Mailing Address70 Dubois StNewburgh, NY 12550-4851 · (845) 561-4400 · Fax (845) 568-2614
Phone(845) 561-4400
Fax(845) 568-2614
Sole ProprietorNo
Enumeration DateApril 18, 2023
NPPES CertifiedApril 14, 2023
✔ NPI 1063108447 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
70 DUBOIS ST, Newburgh, NY 12550
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Soyoung Ahn Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ST. LUKE'S CORNWALL HOSPITAL
General Acute Care Hospital
70 DUBOIS ST
NEWBURGH, NY 12550
Orange County (845) 561-4400
ST. LUKE'S CORNWALL HOSPITAL
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
70 DUBOIS ST
NEWBURGH, NY 12550
Orange County (845) 561-4400
JAMES BERSIG MD
Anesthesiology
70 DUBOIS ST, ST LUKES HOSPITAL
NEWBURGH, NY 12550
Orange County (845) 568-2269
HOSPITAL ATTENDING PHYSICIANS
Internal Medicine
70 DUBOIS ST
NEWBURGH, NY 12550
Orange County (845) 561-4400
DR. JARRETT SCOTT LEFBERG D.O.
Emergency Medicine
70 DUBOIS ST
NEWBURGH, NY 12550
Orange County (845) 561-4400
ROBERT BENTIVEGNA MD
Anesthesiology
70 DUBOIS ST
NEWBURGH, NY 12550
Orange County (845) 561-4400
DR. SINDHU SANDESH MD
Anesthesiology
70 DUBOIS ST, ST. LUKES HOSPITAL
NEWBURGH, NY 12550
Orange County (845) 561-4400
DR. RAMANATHA SRINIVASAN MD
Emergency Medicine
70 DUBOIS ST
NEWBURGH, NY 12550
Orange County (845) 565-9400

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Soyoung Ahn's NPI number?

The NPI number for Soyoung Ahn is 1063108447. It was assigned to this individual provider in the NPPES registry on April 18, 2023.

Where is Soyoung Ahn located?

Soyoung Ahn practices at 70 Dubois St, Newburgh, NY 12550. The listed phone number is (845) 561-4400.

What is Soyoung Ahn's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Soyoung Ahn enrolled in Medicare?

Yes. Soyoung Ahn is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Soyoung Ahn was last updated on April 18, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.