Changpae J Yu, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

042926 Issued in NY

Practice address

6500 Jericho Tpke
Ste 218
Commack, NY 11725-2909

Phone

(631) 462-1111

Fax

(631) 858-1191

NPI assigned

Nov 2, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Dr. Changpae Yu, D.M.D., P.C.

  • Dentist
  • Commack, NY
  • NPI 1053578286
  NPD (past) Authorized official

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

{
    "created_epoch": "1130889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210291200000",
    "number": "1235120932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6500 JERICHO TPKE",
            "address_2": "STE 218",
            "city": "COMMACK",
            "state": "NY",
            "postal_code": "117252909",
            "telephone_number": "631-462-1111",
            "fax_number": "631-858-1191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6500 JERICHO TPKE",
            "address_2": "STE 218",
            "city": "COMMACK",
            "state": "NY",
            "postal_code": "117252909",
            "telephone_number": "631-462-1111",
            "fax_number": "631-858-1191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YU",
        "first_name": "CHANGPAE",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-02",
        "last_updated": "2008-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "042926",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carolyn M Yeager, PHD
• Raymond J. Yeager, PH.D.
• Amy M Yee
• Elyssa Jodi Yoos, LCSW
• Michelle Young, M.D
• Sarah Yu, L.AC
• Hong Yun, RPH
• Rebecca Zaglin
• Denise Zahakos, M.S. SPECIAL ED
• Leslie Zanone, LCSW

• Dentist in Commack, NY
• Providers in Commack, NY by specialty
• Dentist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 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.