Active NPI
Yuying Zhu
- Oral and Maxillofacial Surgery (Dentist)
- New York, NY
National Provider Identifier
1164633376
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- License
- 046976
- Practice address
- 254 Canal St
Suite 4008
New York, NY 10013-3501 - Phone
- (212) 966-8431
- NPI assigned
- May 28, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 046976 | NY | |
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 046976 | NY | Primary |
Addresses
Primary practice location
254 Canal St
Suite 4008
New York, NY 10013-3501
Mailing address
254 Canal St FL 6TH
New York, NY 10013-3501
Phone (212) 966-3649
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02419758 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20221214001382 | NY | Practitioner - Oral Surgery | 3577932565 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 046976 | NY | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Yuying Zhu DDS P C | Current | Accepting new patients |
Locations
196 Canal St
Fl 6
New York, NY 10013
Phone (212) 406-2301
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Dental Clinic/Center
- New York, NY
- NPI 1326755414
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180310400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1667001600000",
"number": "1164633376",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "254 CANAL ST FL 6TH",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100133501",
"telephone_number": "212-966-3649"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "254 CANAL ST",
"address_2": "SUITE 4008",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100133501",
"telephone_number": "212-966-8431"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZHU",
"first_name": "YUYING",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-28",
"last_updated": "2022-10-29",
"certification_date": "2022-10-29",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NY",
"license": "046976",
"primary": false
},
{
"code": "1223S0112X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "NY",
"license": "046976",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02419758",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.