Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Soojin Ahn, MD

Individual provider Surgery Physician · NPI 1730321498

Dr. Soojin Ahn, MD is a General Surgery in Northport, New York. Graduated from State University of New York Downstate Medical Center in 2009, 17 years ago. Practices with New York University, a 5,884-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
17
Trained at
State University of New York Downstate Medical Center
Licensed in
NY
In the registry since
2009
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

79 Middleville Rd Surgical Services
Northport, NY 11768-2200
Phone: (631) 233-2317
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 2762421 (NY)

Record details

NPI number1730321498
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 27, 2009
Last updated in NPPESFebruary 11, 2021
Certification dateFebruary 11, 2021
Mailing address79 Middleville Rd, Surgical Services, Northport, NY 11768-2200

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGENERAL SURGERY
Medical schoolSTATE UNIVERSITY OF NEW YORK DOWNSTATE MEDICAL CENTER
Graduated 2009 (17 years in practice)
Group practice New York University — 5884 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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