Active NPI
Henry Yip, MD
- Nephrology Physician
- Stony Brook, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- 332306
- Practice address
- 101 Nicolls Rd RM 176
Stony Brook, NY 11794-2190 - Phone
- (631) 216-9094
- Fax
- (631) 638-0069
- NPI assigned
- Mar 21, 2020
- Last updated
- May 16, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 332306 | NY | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Nephrology Physician | 207RN0300X | 332306 | NY | Primary |
Addresses
Primary practice location
101 Nicolls Rd RM 176
Stony Brook, NY 11794-2190
Mailing address
101 Nicolls Rd RM 176
Stony Brook, NY 11794-0001
Phone (315) 391-4356
Other practice location 1
1129 Northern Blvd Ste 101
Manhasset, NY 11030-3022
Phone (516) 365-5570
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1129 Northern Blvd
Suite 101
Manhasset, NY 11030-3022
Phone (516) 407-2727
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prine Health Medical Group, PLLC | Current | Accepting new patients | |
| John T. Mather Memorial Hospital | Current | Accepting new patients | |
| John T. Mather Memorial Hospital | Current | Accepting new patients | |
| John T. Mather Memorial Hospital | Current | Accepting new patients | |
| Prine Health Medical Group, PLLC | Nephrology | Current | Accepting new patients |
| Prine Health Medical Group, PLLC | Past | Accepting new patients |
Locations
20110 Northern Blvd
Ste 304
Bayside, NY 11361
Phone (516) 407-2727
370 Old Country Rd
Ste 100
Garden City, NY 11530
Phone (516) 222-1000
1129 Northern Blvd
Ste 101
Manhasset, NY 11030
Phone (516) 365-5570
1111 Marcus Ave
Ste M04
New Hyde Park, NY 11042
Phone (585) 736-3650
75 N Country Rd
Prt Jefferson, NY 11777
Phone (631) 463-1320
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H9678
Organizations & group practices 6
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.
-
dba PRINE Podiatry
- Nephrology Physician
- Manhasset, NY
- NPI 1144790163
-
- Psychiatry Physician
- Port Jefferson Station, NY
- NPI 1376642371
-
- Critical Care Medicine (Internal Medicine) Physician
- Port Jefferson, NY
- NPI 1467249334
-
- Hospitalist Physician
- Port Jefferson, NY
- NPI 1932296316
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- New Hyde Park, NY
- NPI 1285641514
-
- General Acute Care Hospital
- Manhasset, NY
- NPI 1366459570
-
- General Acute Care Hospital
- Roslyn, NY
- NPI 1043279565
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1584748800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1747353600000",
"number": "1295361202",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 NICOLLS RD RM 176",
"city": "STONY BROOK",
"state": "NY",
"postal_code": "117940001",
"telephone_number": "315-391-4356"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 NICOLLS RD RM 176",
"city": "STONY BROOK",
"state": "NY",
"postal_code": "117942190",
"telephone_number": "631-216-9094",
"fax_number": "631-638-0069"
}
],
"practiceLocations": [
{
"address_1": "1129 Northern Blvd Ste 101",
"address_purpose": "LOCATION",
"city": "Manhasset",
"state": "NY",
"postal_code": "110303022",
"country_code": "US",
"telephone_number": "516-365-5570",
"fax_number": "516-365-5532",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "YIP",
"first_name": "HENRY",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-03-21",
"last_updated": "2025-05-16",
"certification_date": "2025-05-16",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "332306",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "NY",
"license": "332306",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Stony Brook, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.