Organization Active NPI

Dr Yu'S Family Practice PLLC

  • Family Medicine Physician
  • Rockaway Beach, NY
National Provider Identifier
1194871475
Registry record updated Jul 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
204315 Issued in NY
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

Updated by the provider on Jul 1, 2008

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)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
0026VDOtherNYMEDICARE - EMPIRE
01749682MedicaidNY

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.