Individual provider Active NPI

Gordon Auyeung

  • Family Medicine Physician
  • New York, NY
National Provider Identifier
1043741291
Registry record updated Aug 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
303170 Issued in NY
Practice address
86 Bowery
FL 6
New York, NY 10013-4615
Phone
(212) 219-9175
NPI assigned
Mar 21, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 13, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 303170 NY Primary

Addresses

Primary practice location

86 Bowery
FL 6
New York, NY 10013-4615

Mailing address

2003 W 13TH St
Brooklyn, NY 11223-3427

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200917000865 NY Practitioner - Family Practice 6103244512 Practice locations: New York, NY

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Philadelphia College of Osteopathic Medicine, 2017
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

86 Bowery
FL 6
New York, NY 10013-4615
Phone (212) 219-9175

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
303170NYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bay Health Medical PLLC Single Specialty CurrentSince Feb 21, 2021 Accepting new patients

Locations

86 Bowery
Fl 6
New York, NY 10013
Phone (212) 219-9175

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1490054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597276800000",
    "number": "1043741291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2003 W 13TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112233427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "86 BOWERY",
            "address_2": "FL 6",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100134615",
            "telephone_number": "212-219-9175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AUYEUNG",
        "first_name": "GORDON",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-03-21",
        "last_updated": "2020-08-13",
        "certification_date": "2020-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "303170",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.