Active NPI
Dr Yu'S Family Practice PLLC
- Family Medicine Physician
- Rockaway Beach, NY
National Provider Identifier
1194871475
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 204315
- Legal business name
- DR YU'S FAMILY PRACTICE PLLC
- Practice address
- 8704A Rockaway Beach Blvd
Rockaway Beach, NY 11693-1610 - Phone
- (718) 945-6500
- Fax
- (718) 945-6509
- NPI assigned
- Jan 26, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Kyi Win Yu, MD
- Title
- Sole Owner
- Phone
- (718) 945-6500
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 204315 | NY | Primary |
Addresses
Primary practice location
8704A Rockaway Beach Blvd
Rockaway Beach, NY 11693-1610
Mailing address
8704A Rockaway Beach Blvd
Rockaway Beach, NY 11693-1610
Phone (718) 945-6500
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0026VD | Other | NY | MEDICARE - EMPIRE |
| 01749682 | Medicaid | NY |
National Provider Directory
National Provider DirectoryLocations
8624 Rockaway Beach Blvd
Rockaway Beach, NY 11693
Phone (718) 318-6554
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169769600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1214870400000",
"number": "1194871475",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8704A ROCKAWAY BEACH BLVD",
"city": "ROCKAWAY BEACH",
"state": "NY",
"postal_code": "116931610",
"telephone_number": "718-945-6500",
"fax_number": "718-945-6509"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8704A ROCKAWAY BEACH BLVD",
"city": "ROCKAWAY BEACH",
"state": "NY",
"postal_code": "116931610",
"telephone_number": "718-945-6500",
"fax_number": "718-945-6509"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DR YU'S FAMILY PRACTICE PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-26",
"last_updated": "2008-07-01",
"status": "A",
"authorized_official_last_name": "YU",
"authorized_official_first_name": "KYI",
"authorized_official_middle_name": "WIN",
"authorized_official_title_or_position": "SOLE OWNER",
"authorized_official_telephone_number": "718-945-6500",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "NY",
"license": "204315",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE - EMPIRE",
"identifier": "0026VD",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01749682",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Rockaway Beach, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.