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YEON JUNG YOO MD
NPI 1104629195
Student in an Organized Health Care Education/Training Program in Stony Brook, NY

Active since March 27, 2025
101 NICOLLS RD DEPT OF, STONY BROOK, NY 11794(503) 298-9344 Get Directions Write a Review

NPPES record last updated: March 27, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Yeon Jung Yoo Md NPPES

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

YEON JUNG YOO MD (NPI 1104629195) is an individual student in an organized health care education/training program in Stony Brook, New York and active in the NPI registry since March 2025.

NPPES Registry Identity

NPI1104629195
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameYEON JUNG YOOCredential: MD
Location Address101 NICOLLS RD DEPT OFStony Brook, NY 11794-0001
Mailing Address650 S Gaines St Apt 911Portland, OR 97239-4768 · (503) 298-9344
Phone(503) 298-9344
Sole ProprietorNo
Enumeration DateMarch 27, 2025
NPPES CertifiedMarch 27, 2025
✔ NPI 1104629195 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.
101 NICOLLS RD DEPT OF, Stony Brook, NY 11794
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Other Names 1

Professional Name (2)Ashley Yoo Md

Other Providers at the Same Location NPPES 8

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

PRIYAL SAKHUJA DO
Student in an Organized Health Care Education/Training Program
101 NICOLLS RD DEPT OF
STONY BROOK, NY 11794
Suffolk County (631) 444-7411
MRS. KRISTIN FERRARA RN, NNP-BC
Nurse Practitioner (Neonatal)
101 NICOLLS RD DEPT OF
STONY BROOK, NY 11794
Suffolk County (631) 444-2710
ROSHAN T. VARUGHESE PA-C
Physician Assistant (Medical)
101 NICOLLS RD DEPT OF
STONY BROOK, NY 11794
Suffolk County (516) 708-6661
EDMUND WING-LAM LEE
Surgery
101 NICOLLS RD DEPT OF
STONY BROOK, NY 11794
Suffolk County (631) 689-8333
ADAM JOSEPH KOVACOVICH MD
Student in an Organized Health Care Education/Training Program
101 NICOLLS RD DEPT OF
STONY BROOK, NY 11794
Suffolk County (631) 444-3880
YOKE-MUN SUNG MD
Internal Medicine
101 NICOLLS RD DEPT OF
STONY BROOK, NY 11794
Suffolk County (631) 444-8044
MPEPERA SIMANGO-YIADOM
Podiatrist
101 NICOLLS RD DEPT OF
STONY BROOK, NY 11794
Suffolk County (631) 444-2037
DR. MELISSA BETH WEISS M.D.
Psychiatry & Neurology (Psychiatry)
101 NICOLLS RD DEPT OF
STONY BROOK, NY 11794
Suffolk County (631) 632-9510

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 Yeon Jung Yoo's NPI number?

The NPI number for Yeon Jung Yoo is 1104629195. It was assigned to this individual provider in the NPPES registry on March 27, 2025. The provider is also known as Ashley Yoo MD.

Where is Yeon Jung Yoo located?

Yeon Jung Yoo practices at 101 Nicolls Rd Dept Of, Stony Brook, NY 11794. The listed phone number is (503) 298-9344.

What is Yeon Jung Yoo's specialty?

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

When was this NPI record last updated?

The NPPES record for Yeon Jung Yoo was last updated on March 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.