Organization Active NPI

Yulin Medicine PLLC

  • Internal Medicine Physician
  • Flushing, NY
National Provider Identifier
1063990257
Registry record updated Aug 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
YULIN MEDICINE PLLC
Practice address
13329 41St Rd Ste 2D
Flushing, NY 11355-3695
Phone
(917) 908-0338
Fax
(855) 860-2188
NPI assigned
Jul 31, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2019

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

Authorized official

Name
Dr. Yulin Wang, MDNPI 1629201942
Title
Owner
Phone
(917) 908-0338

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
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

13329 41St Rd Ste 2D
Flushing, NY 11355-3695

Mailing address

43 Spruce LN
New Hyde Park, NY 11040-1919
Phone (917) 908-0338

Other identifiers 1

IdentifierTypeStateIssuer
03508243MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20181016001190 NY Part B Supplier - Clinic/Group Practice 3678825882 Receives reassigned benefits from 2 practitioners
Practice locations: Flushing, NY

National Provider Directory

National Provider Directory

Locations

13633 37th Ave
Unit 301
Flushing, NY 11354
Phone (718) 888-9268

Practitioners & affiliated clinicians

Practitioners 2

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": "1532995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1566172800000",
    "number": "1063990257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43 SPRUCE LN",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110401919",
            "telephone_number": "917-908-0338",
            "fax_number": "855-860-2188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13329 41ST RD STE 2D",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113553695",
            "telephone_number": "917-908-0338",
            "fax_number": "855-860-2188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YULIN MEDICINE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-31",
        "last_updated": "2019-08-19",
        "status": "A",
        "authorized_official_last_name": "WANG",
        "authorized_official_first_name": "YULIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "917-908-0338",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03508243",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.