Healthcare Provider Details

I. General information

NPI: 1588465751
Provider Name (Legal Business Name): YOOJIN YOON MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/22/2025
Last Update Date: 09/19/2026
Certification Date: 09/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

185 S ORANGE AVE
NEWARK NJ
07103-2757
US

IV. Provider business mailing address

185 S ORANGE AVE
NEWARK NJ
07103-2757
US

V. Phone/Fax

Practice location:
  • Phone: 973-972-5017
  • Fax:
Mailing address:
  • Phone: 973-972-5045
  • Fax: 973-972-6803

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License NumberP2601411
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: