Active NPI
Lisa Yeung, M.D.
- Family Medicine Physician
- Bronx, NY
National Provider Identifier
1114287067
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 284686
- Practice address
- 50 E 168TH St
Bronx, NY 10452-7929 - Phone
- (718) 293-3900
- NPI assigned
- May 25, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | 252412 | MA | |
| Family Medicine Physician | 207Q00000X | 265247 | MA | |
| Family Medicine Physician | 207Q00000X | 284686 | NY | Primary |
Addresses
Primary practice location
50 E 168TH St
Bronx, NY 10452-7929
Mailing address
50 E 168TH St
Bronx, NY 10452-7929
Phone (718) 293-3900
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 284686 | NY | MD | Family Medicine Physician |
| 252412 | MA | MD | Student in an Organized Health Care Education/Training Program |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1337904000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1474416000000",
"number": "1114287067",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "50 E 168TH ST",
"city": "BRONX",
"state": "NY",
"postal_code": "104527929",
"telephone_number": "718-293-3900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "50 E 168TH ST",
"city": "BRONX",
"state": "NY",
"postal_code": "104527929",
"telephone_number": "718-293-3900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YEUNG",
"first_name": "LISA",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-05-25",
"last_updated": "2016-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "MA",
"license": "252412",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MA",
"license": "265247",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NY",
"license": "284686",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.