Chang S Yu Medical PC

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

225109 Issued in NY

Legal business name

CHANG S YU MEDICAL PC

Practice address

32 Marian LN
Jericho, NY 11753-1841

Phone

(516) 932-4328

Fax

(516) 932-4328

NPI assigned

Aug 8, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Chang S Yu, M.D.NPI 1669457776

Title

President

Phone

(516) 932-4328

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Practitioners 2

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

• Chang S Yu, MD

  • Anesthesiology Physician
  • Jericho, NY
  • NPI 1669457776
  Medicare reassignment NPD Authorized official
• Xianyang Yio

  • Gastroenterology Physician
  • Flushing, NY
  • NPI 1740233253
  NPD (past)

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

{
    "created_epoch": "1186531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206403200000",
    "number": "1073704508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 MARIAN LN",
            "city": "JERICHO",
            "state": "NY",
            "postal_code": "117531841",
            "telephone_number": "516-932-4328",
            "fax_number": "516-932-4328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32 MARIAN LN",
            "city": "JERICHO",
            "state": "NY",
            "postal_code": "117531841",
            "telephone_number": "516-932-4328",
            "fax_number": "516-932-4328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHANG S YU MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-08",
        "last_updated": "2008-03-25",
        "status": "A",
        "authorized_official_last_name": "YU",
        "authorized_official_first_name": "CHANG",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-932-4328",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": "NY",
            "license": "225109",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sharon Penalosa Castillo
• Naika Clara Castma, PA-C
• Rebecca Castronovo, LCSW
• Jessica Cha, M.A.
• Binu Chacko, M.D.
• Debra Ann Chase, M.S.
• Shih-Yuan Chen, R.PH
• Wei-Ping Chen
• Lynn Chern-Lan Chiang-Vera, BS
• Chiropractic Wellness of Jericho PC

• Anesthesiology Physician in Jericho, NY
• Providers in Jericho, NY by specialty
• Anesthesiology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2008; 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.