Organization Active NPI

Doctor Yio Medical Service, PC

  • Gastroenterology Physician
  • Flushing, NY
National Provider Identifier
1225139462
Registry record updated Mar 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
221652 Issued in NY
Legal business name
DOCTOR YIO MEDICAL SERVICE, PC
Practice address
13619 41St Avenue
Flushing, NY 11355
Phone
(718) 886-6330
NPI assigned
Sep 26, 2006
Last updated
Mar 9, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2015

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

Authorized official

Name
Dr. Xianyang Yio, M.D.NPI 1740233253
Title
MD
Phone
(718) 886-6330

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 221652 NY
Gastroenterology Physician 207RG0100X 221652 NY Primary

Addresses

Primary practice location

13619 41St Avenue
Flushing, NY 11355

Mailing address

9 Norfolk Road
Great Neck, NY 11020

Other names 1

  • DOCTOR YIO MEDICAL SVC PC Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20061106000240 NY Part B Supplier - Clinic/Group Practice 4284630518 Receives reassigned benefits from 2 practitioners
Practice locations: Flushing, NY

National Provider Directory

National Provider Directory

Locations

13619 41st Ave
#2
Flushing, NY 11355
Phone (718) 886-6330

3916 Prince St
Ste M54
Flushing, NY 11354
Phone (718) 886-6330

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425859200000",
    "number": "1225139462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 NORFOLK ROAD",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "11020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13619 41ST AVENUE",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "11355",
            "telephone_number": "718-886-6330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOCTOR YIO MEDICAL SERVICE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-26",
        "last_updated": "2015-03-09",
        "status": "A",
        "authorized_official_last_name": "YIO",
        "authorized_official_first_name": "XIANYANG",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "718-886-6330",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "221652",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NY",
            "license": "221652",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DOCTOR YIO MEDICAL SVC PC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Flushing, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.