NPIMap

Organization Active NPI

Dr. Changpae Yu, D.M.D., P.C.

  • Dentist
  • Commack, NY
National Provider Identifier
1053578286
Registry record updated May 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
042926 Issued in NY
Legal business name
DR. CHANGPAE YU, D.M.D., P.C.
Practice address
6500 Jericho Tpke Ste 218
Commack, NY 11725-2907
Phone
(631) 462-1111
Fax
(631) 858-1191
NPI assigned
May 16, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 16, 2008

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

Authorized official

Name
Dr. Changpae Yu, D.M.D., P.C.NPI 1235120932
Title
Dentist
Phone
(631) 462-1111

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 042926 NY Primary

Addresses

Primary practice location

6500 Jericho Tpke Ste 218
Commack, NY 11725-2907

Mailing address

6500 Jericho Tpke Ste 218
Commack, NY 11725-2907
Phone (631) 462-1111

National Provider Directory

National Provider Directory

Locations

6500 Jericho Tpke
Ste 218
Commack, NY 11725
Phone (631) 462-1111

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1210896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210896000000",
    "number": "1053578286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6500 JERICHO TPKE STE 218",
            "city": "COMMACK",
            "state": "NY",
            "postal_code": "117252907",
            "telephone_number": "631-462-1111",
            "fax_number": "631-858-1191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6500 JERICHO TPKE STE 218",
            "city": "COMMACK",
            "state": "NY",
            "postal_code": "117252907",
            "telephone_number": "631-462-1111",
            "fax_number": "631-858-1191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. CHANGPAE YU, D.M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-16",
        "last_updated": "2008-05-16",
        "status": "A",
        "authorized_official_last_name": "YU",
        "authorized_official_first_name": "CHANGPAE",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "631-462-1111",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D., P.C."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "NY",
            "license": "042926",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Commack, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.