Individual provider Active NPI

Helen H Yu, MD

  • Internal Medicine Physician
  • Glen Head, NY
National Provider Identifier
1124036116
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
240738 Issued in NY
Practice address
14A Quaker Ridge Rd
Glen Head, NY 11545-3326
Phone
(516) 801-2011
Fax
(516) 801-2011
NPI assigned
Aug 4, 2006
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 240738 NY Primary

Addresses

Primary practice location

14A Quaker Ridge Rd
Glen Head, NY 11545-3326

Mailing address

14A Quaker Ridge Rd
Glen Head, NY 11545-3326
Phone (516) 801-2011

Other practice location 1

294 North Main Street
East Longmeadow, MA 01028
Phone (413) 525-4555

Other identifiers 1

IdentifierTypeStateIssuer
0158810MedicaidMA

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

LicenseStateTypeSpecialty
240738NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Baystate Affiliated Practice Organization Internal Medicine Past Accepting new patients
Hartford Physician Services PC Internal Medicine Past Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1124036116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14A QUAKER RIDGE RD",
            "city": "GLEN HEAD",
            "state": "NY",
            "postal_code": "115453326",
            "telephone_number": "516-801-2011",
            "fax_number": "516-801-2011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14A QUAKER RIDGE RD",
            "city": "GLEN HEAD",
            "state": "NY",
            "postal_code": "115453326",
            "telephone_number": "516-801-2011",
            "fax_number": "516-801-2011"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "294 North Main Street",
            "address_purpose": "LOCATION",
            "city": "East Longmeadow",
            "state": "MA",
            "postal_code": "01028",
            "country_code": "US",
            "telephone_number": "413-525-4555",
            "fax_number": "413-794-9448",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YU",
        "first_name": "HELEN",
        "middle_name": "H",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-04",
        "last_updated": "2022-07-21",
        "certification_date": "2020-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "240738",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0158810",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Head, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.