Individual provider Active NPI

Yuan Zhang, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • New York, NY
National Provider Identifier
1194240390
Registry record updated May 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
26NJ01125900 Issued in NJ
Practice address
217 Grand St Ste 401
New York, NY 10013-4396
Phone
(718) 886-0028
NPI assigned
Aug 8, 2017
Last updated
May 12, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 12, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 308383 NY
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 26NJ01125900 NJ Primary

Addresses

Primary practice location

217 Grand St Ste 401
New York, NY 10013-4396

Mailing address

381 Barlow Ave
Staten Island, NY 10308-1301

Other practice location 1

86 Roosevelt Ave
Staten Island, NY 10314-4124
Phone (347) 570-7007

Other practice location 2

777 Route 70 E Ste G101
Marlton, NJ 08053-2548
Phone (856) 818-4020

Other identifiers 1

IdentifierTypeStateIssuer
816230MedicaidNJ

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: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211130002706 NY Practitioner - Nurse Practitioner 2668862970 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Chinatown True Care Medical PLLCGroup PAC ID 2163859760, 245 clinicians

Practice addresses (Care Compare)

2251 86TH St
Brooklyn, NY 11214-4107
Phone (718) 886-0028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
308383NYMDDermatology Physician
26NJ01125900NJMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sunstar Psychiatric NP PLLC CurrentSince Aug 28, 2022 Accepting new patients
Chinatown True Care Medical PLLC CurrentSince Sep 27, 2023 Accepting new patients

Locations

2251 86th St
Brooklyn, NY 11214
Phone (718) 280-9938

757 60th St
Ste 1
Brooklyn, NY 11220
Phone (718) 567-8899

13527 38th Ave
Fl 2
Flushing, NY 11354
Phone (718) 886-5068

4235 Main St
Ste 3E
Flushing, NY 11355
Phone (718) 886-5068

217 Grand St
Ste 401
New York, NY 10013
Phone (212) 390-1830

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

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": "1502150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652313600000",
    "number": "1194240390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "381 BARLOW AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103081301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 GRAND ST STE 401",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100134396",
            "telephone_number": "718-886-0028"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "86 Roosevelt Ave",
            "address_purpose": "LOCATION",
            "city": "Staten Island",
            "state": "NY",
            "postal_code": "103144124",
            "country_code": "US",
            "telephone_number": "347-570-7007",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "777 Route 70 E Ste G101",
            "address_purpose": "LOCATION",
            "city": "Marlton",
            "state": "NJ",
            "postal_code": "080532548",
            "country_code": "US",
            "telephone_number": "856-818-4020",
            "fax_number": "732-479-6751",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZHANG",
        "first_name": "YUAN",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-08-08",
        "last_updated": "2022-05-12",
        "certification_date": "2022-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "308383",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NJ",
            "license": "26NJ01125900",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "816230",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.