Active NPI
Jian Chu Yu, MD
- Colon & Rectal Surgery Physician
- Hauppauge, NY
National Provider Identifier
1245236611
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Colon & Rectal Surgery Physician
- License
- 144252
- Practice address
- 227 Mount Pleasant Road
Hauppauge, NY 11788-2900 - Phone
- (631) 360-0005
- Fax
- (631) 368-1113
- NPI assigned
- Jun 21, 2005
- Last updated
- Jul 28, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Colon & Rectal Surgery Physician | 208C00000X | 144252 | NY | Primary |
Addresses
Primary practice location
227 Mount Pleasant Road
Hauppauge, NY 11788-2900
Mailing address
236 Cedrus Ave
East Northport, NY 11731-4515
Phone (631) 368-1142
Other identifiers 15
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0054209 | Other | NY | GHI |
| 020023863 | Other | NY | RR MEDICARE |
| DO8585 | Other | NY | OXFORD |
| 0614257-005 | Other | NY | CIGNA |
| 11632 | Other | NY | VYTRA |
| 27153P | Other | NY | HIP |
| 56A913 | Other | NY | BCBS |
| 144252B28 | Other | NY | HEALTH FIRST |
| 40C2983 | Other | NY | HEALTHNET |
| 112219566 | Other | NY | EMPIRE PLAN, NYSHIP |
| 1168009 | Other | NY | UNITED HEALTH CARE |
| 144252 | Other | NY | HIP |
| 1442525 | Other | NY | HEALTHCARE PARTNER |
| 183279 | Other | NY | AETNA |
| 112219566 | Other | NY | CIGNA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 144252 | NY | MD | Colon & Rectal Surgery Physician |
Organizations & group practices 1
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.
-
- Surgery Physician
- Hauppauge, NY
- NPI 1407005689
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119312000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1217203200000",
"number": "1245236611",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "236 CEDRUS AVE",
"city": "EAST NORTHPORT",
"state": "NY",
"postal_code": "117314515",
"telephone_number": "631-368-1142",
"fax_number": "631-368-1113"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "227 MOUNT PLEASANT ROAD",
"city": "HAUPPAUGE",
"state": "NY",
"postal_code": "117882900",
"telephone_number": "631-360-0005",
"fax_number": "631-368-1113"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YU",
"first_name": "JIAN",
"middle_name": "CHU",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-06-21",
"last_updated": "2008-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "208C00000X",
"taxonomy_group": "",
"desc": "Colon & Rectal Surgery",
"state": "NY",
"license": "144252",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI",
"identifier": "0054209",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "020023863",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "DO8585",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "0614257-005",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VYTRA",
"identifier": "11632",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIP",
"identifier": "27153P",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "56A913",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH FIRST",
"identifier": "144252B28",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHNET",
"identifier": "40C2983",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EMPIRE PLAN, NYSHIP",
"identifier": "112219566",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTH CARE",
"identifier": "1168009",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIP",
"identifier": "144252",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHCARE PARTNER",
"identifier": "1442525",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "183279",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "112219566",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hauppauge, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 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.