GRACE HYUN MD NPI 1699829630

NPI Information

NPI: 1699829630
Provider Name: GRACE HYUN, MD
Classification: Specialist - 174400000X
Entity Type: Individual

PECOS Registration: Yes

Address:
3959 BROADWAY
SUITE 219
NEW YORK, NY
ZIP 10032
Phone: (212) 305-8510
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Grace Hyun, MD is a specialist in New York, NY. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. Grace Hyun, MD NPI is 1699829630. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3959 BROADWAY
SUITE 219
NEW YORK, NY
ZIP 10032-559
Phone: (212) 305-8510

The NPI 1699829630 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 1/23/2007 and was last updated on 4/12/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	174400000X	Specialist		223431	NEW YORK	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	22343101	OTHER	NEW YORK	COMMUNITY PREMIER PLUS
2	P3618737	OTHER	NEW YORK	OXFORD
3	002671043	MEDICAID	NEW YORK
4	1301254	OTHER	NEW YORK	CIGNA
5	4S0841	OTHER	NEW YORK	EBCBS
6	3985685	OTHER	NEW YORK	AETNA HMO
7	562522505	OTHER	NEW YORK	1199
8	7463687	OTHER	NEW YORK	AETNA PPO
9	4C9877	OTHER	NEW YORK	HEALTHNET

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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