Individual provider Active NPI

Julie Yang, M.D.

  • Gastroenterology Physician
  • Bronx, NY
National Provider Identifier
1245461524
Registry record updated Jan 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
2532222 Issued in NY
Practice address
1825 Eastchester Rd
4TH Floor- Endoscopy
Bronx, NY 10461-2301
Phone
(718) 904-2376
NPI assigned
Aug 4, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2012

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 4301096169 MI
Gastroenterology Physician 207RG0100X 2532222 NY Primary
Gastroenterology Physician 207RG0100X 25MA08600800 NJ
Gastroenterology Physician 207RG0100X 4301096169 MI

Addresses

Primary practice location

1825 Eastchester Rd
4TH Floor- Endoscopy
Bronx, NY 10461-2301

Mailing address

1200 Waters PL
Suite M103
Bronx, NY 10461-2728
Phone (718) 794-1549

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20110816000158 NY Practitioner - GastroenterologyPractitioner - Internal Medicine 6608061452 Reassigns benefits to 4 organizations
I20240716004419 NJ Practitioner - Gastroenterology 6608061452 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
Rutgers, Robert Woood Johnson Medical School, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Maimonides Medical Center MMC Gastroenterology FPPGroup PAC ID 4981595055, 14 clinicians

Practice addresses (Care Compare)

4802 10TH Ave
Brooklyn, NY 11219-2916
Phone (718) 283-7732

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy29
Upper gastrointestinal (GI) endoscopy for acid reflux82

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25MA08600800NJMDGastroenterology Physician
2532222NYMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rutgers Health-RWJ Scleroderma Program Current Accepting new patients
Rutgers Health-RWJ Scleroderma Program CurrentSince Jul 1, 2024 Accepting new patients
Rutgers Health-RWJ Scleroderma Program CurrentSince Jul 1, 2024 Accepting new patients
Montefiore Medical Center Internal Medicine CurrentSince Nov 27, 2017 Accepting new patients
Maimonides Medical Center - MMC Gastroenterology FPP Gastroenterology CurrentSince Apr 15, 2025 Accepting new patients
Icahn School of Medicine at Mount Sinai CurrentSince Jul 1, 2022 Accepting new patients
Icahn School of Medicine at Mount Sinai Gastroenterology CurrentSince Jul 1, 2022 Accepting new patients
Maimonides Faculty Practice Plan Internal Medicine CurrentSince Apr 15, 2025 Accepting new patients
Montefiore Medical Center CurrentSince Nov 27, 2017 Accepting new patients

Locations

125 Paterson St
Ste 6100
New Brunswick, NJ 08901
Phone (732) 235-6561

125 Paterson St
Ste 5100
New Brunswick, NJ 08901
Phone (732) 235-7060

1 Rwj Pl
New Brunswick, NJ 08901
Phone (732) 235-7887

1825 Eastchester Rd
Fl 4
Bronx, NY 10461
Phone (718) 904-2376

1250 Waters Pl
Bronx, NY 10461
Phone (718) 409-9444

111 E 210th St
Bronx, NY 10467

1200 Waters Pl
Ste M103
Bronx, NY 10461
Phone (718) 794-1549

4802 10th Ave
Brooklyn, NY 11219
Phone (718) 283-8724

5 E 98th St
New York, NY 10029
Phone (212) 241-3986

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Organizations & group practices 9

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1249344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327795200000",
    "number": "1245461524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 WATERS PL",
            "address_2": "SUITE M103",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104612728",
            "telephone_number": "718-794-1549",
            "fax_number": "718-794-1619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1825 EASTCHESTER RD",
            "address_2": "4TH FLOOR- ENDOSCOPY",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104612301",
            "telephone_number": "718-904-2376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YANG",
        "first_name": "JULIE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-04",
        "last_updated": "2012-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301096169",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NY",
            "license": "2532222",
            "primary": true
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NJ",
            "license": "25MA08600800",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "MI",
            "license": "4301096169",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.