JI AE YOON
NPI 1104453745
Internal Medicine - Endocrinology, Diabetes & Metabolism in Bethpage, NY

Q: What is Ji Ae Yoon's NPI number?

The NPI number for Ji Ae Yoon is 1104453745. It was assigned to this individual provider in the NPPES registry on March 24, 2020.

Q: What is Ji Ae Yoon's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Q: When was this NPI record last updated?

The NPPES record for Ji Ae Yoon was last updated on September 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.

Active since March 24, 2020PECOS EnrolledAccepts Medicare Assignment

185 CENTRAL AVE, BETHPAGE, NY 11714(516) 758-8600(929) 455-9813 Get Directions Write a Review

NPPES record last updated: September 4, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 4, 2025, Mar 24, 2020 (2 updates tracked since 2020).

On this page

About Ji Ae Yoon NPPES

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

JI AE YOON (NPI 1104453745) is an individual endocrinology, diabetes & metabolism provider in Bethpage, New York, licensed in New York (323963) and active in the NPI registry since March 2020. She is enrolled in Medicare PECOS, is affiliated with Nyu Langone Hospitals, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1104453745

Entity TypeIndividualFemale

Primary Taxonomy207RE0101X

Provider Legal NameJI AE YOON

Location Address185 CENTRAL AVEBethpage, NY 11714-3927

Mailing Address300 Community DrManhasset, NY 11030-3816 · (516) 562-0100

Phone(516) 758-8600

Fax(929) 455-9813

Sole ProprietorNo

Medical School CMSOtherGraduated 2020

Enumeration DateMarch 24, 2020

Last NPPES UpdateSeptember 4, 20252 updates tracked since enumeration

NPPES CertifiedSeptember 4, 2025

✔ NPI 1104453745 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians

Taxonomy Code207RE0101X

License✔ Licensed in NY · 323963

Definition

An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.

185 CENTRAL AVE, Bethpage, NY 11714

Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ji Ae Yoon is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2163922832

PECOS Enrollment IDI20250826003234

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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Nyu Langone Hospitals

Acute Care Hospitals · New York, NY

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330214

Location550 First AvenueNew York, NY 10016 · New York County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11714 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$154.28 typical visit price

range $67.40 – $203.53

Typical copayment $38.57 (range $16.85 – $50.88)

Most-billed visit code 99204

Established Patient

$117.62 typical visit price

range $21.66 – $164.45

Typical copayment $29.40 (range $5.41 – $41.11)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 17

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

CHARLES FERRER PA

Physician Assistant