DUG SU YUN


Address: 221 Victoria St, Glassboro, NJ 08028
Phone: 8565361475

DUG SU YUN (NPI# 1235380288) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1235380288
Entity Type Individual
Full Name DUG SU YUN
Credential DO
Practice Address 221 Victoria St
Glassboro
NJ 08028
Mailing Address 1 Federal St # 200
Camden
NJ 08103-1088
Practice Telephone 8565361475
Mailing Telephone 8563564924
Enumeration Date 2008-10-08
Last Update Date 2019-07-17
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207QS0010X Family Medicine
Specialization: Sports Medicine
25MB09702400 NJ Allopathic & Osteopathic Physicians
N 207QS0010X Family Medicine
Specialization: Sports Medicine
OS015615 PA Allopathic & Osteopathic Physicians

Provider Secondary Practice Location

Address Telephone Number Fax Number
3 Cooper Plz, Suite 408, Camden, NJ 081031438 8563423159

Office Location

Street Address 221 VICTORIA ST
City GLASSBORO
State NJ
Zip Code 08028

Providers in the same location

NPI Name Taxonomy Address Enumeration
1336175694 Courtney A. Budd Physical Therapist 221 Victoria St, Glassboro, NJ 08028-2278 2006-06-25
1700336906 Sara Jane Moffei Physical Therapist 221 Victoria St, Glassboro, NJ 08028-2278 2016-10-12
1871936757 Loheetha Ragupathi Internal Medicine 221 Victoria St, Glassboro, NJ 08028 2013-04-10
1548534183 Dolores M Mclaughlin Physical Therapist 221 Victoria St, Glassboro, NJ 08028-2278 2012-02-29
1235425190 Cody Clinton Orthopaedic Surgery 221 Victoria St, Glassboro, NJ 08028-2278 2011-06-20
1295960698 Rey Natividad Ramirez Orthopaedic Surgery 221 Victoria St, Glassboro, NJ 08028 2009-05-29
1689867608 Sarah C Donley Occupational Therapist 221 Victoria St, Glassboro, NJ 08028-2278 2007-08-22
1447337183 Lawrence S Miller Orthopaedic Surgery 221 Victoria St, Glassboro, NJ 08028-2278 2006-11-01

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
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1427512599 Elwyn New Jersey Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 210 Pennsylvania Avenue, Glassboro, NJ 08028 2019-01-23
1639641210 Seth Frost Counselor 2 Delsea Dr S., Glassboro, NJ 08028 2018-12-20
1083195788 Strong Tower Social Services, Inc Clinic/Center 341 Fish Pond Road, Glassboro, NJ 08028 2018-08-22
1023506730 Tri-county Support Coordination LLC Case Management 275 E High St, Ste S364, Glassboro, NJ 08028 2018-04-27
1558872721 Assoc. for Retarded Citizens, Inc. Gloucester County Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 32 Reading Street, Apt. #2, Glassboro, NJ 08028 2017-10-16
1073023545 Assoc. for Retarded Citizens, Inc. Gloucester County Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 960 North Main Street, Glassboro, NJ 08028 2017-10-10
1366978645 Bancroft Neurohealth Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 685 Aura Rd, Glassboro, NJ 08028 2017-05-05
1831623594 The Devereux Foundation Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 3 Potsdam Court, Glassboro, NJ 08028 2017-04-19
1003340761 The Devereux Foundation Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 113 Stoneham Drive, Glassboro, NJ 08028 2017-04-19
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Taxonomy Information

Taxonomy Code 207QS0010X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine
Specialization Sports Medicine

Taxonomy Definition

A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Family Medicine, 2007. http://www.theabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Medicine.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1801270095 Matthew Parisi Family Medicine 186 County Road 520 Ste 3, Morganville, NJ 07751-1246 2015-07-17
1679991145 Jason Anthony Krystofiak Family Medicine 200 S Orange Ave Ste 118, Livingston, NJ 07039-5817 2014-04-02
1629419163 Sports Management Institute LLC Family Medicine 14-20 Watsessing Ave, Bloomfield, NJ 07003-4611 2013-07-12
1134564768 Christopher Chong Family Medicine 1 Brace Rd Ste B5, Cherry Hill, NJ 08034-2600 2013-05-09
1700221561 Elad Tennen Family Medicine 2315 Highway 34 Ste D, Manasquan, NJ 08736-1444 2013-05-07
1154642486 Melissa Mascaro Family Medicine 1 Bay Ave Fl 3, Montclair, NJ 07042-4837 2010-06-22
1649430109 Bryan Richard Barrett Family Medicine 2500 English Creek Ave Ste 909, Egg Harbor Township, NJ 08234-5587 2008-06-09
1477723245 Lourdes Medical Associates, Pa Family Medicine 728 Marne Hwy Ste 100c, Moorestown, NJ 08057-3128 2008-03-07
1437332749 New Jersey Sports Medicine and Performance Center LLC Family Medicine 689 Valley Rd Ste 104, Gillette, NJ 07933-1906 2007-12-10
1801010723 Thomas W Plut Family Medicine 728 Marne Hwy Ste 100c-3, Moorestown, NJ 08057-3128 2007-04-12
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Competitor

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City GLASSBORO
Zip Code 08028

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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