Physician Compare National (NPI:1073550232)

HEALTHCARE PROVIDER:

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1073550232
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	5698739225
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20151230000723
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	YUN
	Individual professional last name
Provider First Name	JAIME
	Individual professional first name
Provider Gender	M
	The provider's gender if the provider is a person.
Provider Credential Text	MD
	The abbreviations for professional degrees or credentials used or held by the provider, if the provider is an individual. Examples are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations will not be verified by NPS.

Medical School Information
Medical School Name	NEW YORK UNIVERSITY SCHOOL OF MEDICINE
	Individual professional's medical school
Graduation Year	1993
	Individual professional's medical school graduation year
Primary Specialty	THORACIC SURGERY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	4235 MAIN ST
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 3H
	Group Practice or individual's line 2 address
City	FLUSHING
	Group Practice or individual's city
State	NY
	Group Practice or individual's state
Zip Code	113553969
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	330019
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	NEW YORK COMMUNITY HOSPITAL OF BROOKLYN, INC.
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	330221
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	WYCKOFF HEIGHTS MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	330056
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	BROOKLYN HOSPITAL CENTER AT DOWNTOWN CAMPUS
	Legal business name of hospital where individual professional provides service 3
Hospital Affiliation CCN 4	330236
	Medicare CCN of hospital where individual professional provides service 4
Hospital Affiliation LBN 4	NEW YORK-PRESBYTERIAN/BROOKLYN METHODIST HOSPITAL
	Legal business name of hospital where individual professional provides service 4
Professional Accepts Medicare Assignment	Y