Individual provider Active NPI

Henry Yip, MD

  • Nephrology Physician
  • Stony Brook, NY
National Provider Identifier
1295361202
Registry record updated May 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
332306 Issued in NY
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, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 16, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241108002548 NY Practitioner - Internal MedicinePractitioner - Nephrology 5890229199 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Nephrology
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Prine Health Medical Group, PLLCGroup PAC ID 1557600384, 77 clinicians

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

OrganizationSpecialtyStatusNew patients
Prine Health Medical Group, PLLC CurrentSince Jul 15, 2025 Accepting new patients
John T. Mather Memorial Hospital CurrentSince Sep 18, 2024 Accepting new patients
John T. Mather Memorial Hospital CurrentSince Sep 18, 2024 Accepting new patients
John T. Mather Memorial Hospital Current Accepting new patients
Prine Health Medical Group, PLLC Nephrology CurrentSince Jul 15, 2025 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.

Hospital & facility affiliations 3

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": "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

Verify at the official NPI Registry.