Individual provider Active NPI

Le Yu Khine, M.D.

  • Endocrinology, Diabetes & Metabolism Physician
  • Rego Park, NY
National Provider Identifier
1316367162
Registry record updated Oct 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
321336 Issued in NY
Practice address
9901 Queens Blvd
Rego Park, NY 11374-4512
Phone
(718) 520-6100
NPI assigned
Apr 20, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 321336 NY Primary

Addresses

Primary practice location

9901 Queens Blvd
Rego Park, NY 11374-4512

Mailing address

9901 Queens Blvd
Rego Park, NY 11374-4512
Phone (718) 520-6100

Other practice location 1

355 Bard Ave
Department of Medicine Villa Bldg 1st Floor
Staten Island, NY 10310-1664
Phone (718) 818-2419

Other practice location 2

355 Bard Ave
Department of Medicine Villa Bldg 1st Floor
Staten Island, NY 10310-1664
Phone (718) 818-2419

Other practice location 3

1100 Grampian Blvd
Williamsport, PA 17701
Phone (570) 320-7848

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
I20230612002745 NY Practitioner - Endocrinology 4587939392 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Endocrinology
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

9901 Queens Blvd
Rego Park, NY 11374-4512
Phone (718) 520-6100

Hospital & facility affiliations

  • Mount Sinai Hospital Hospital, New York, NY, CCN 330024
  • Mount Sinai Beth Israel Hospital, New York, NY, CCN 330169

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
North Shore Medical Group of the Mount Sinai School of Medicine CurrentSince May 16, 2023 Accepting new patients
North Shore Medical Group of the Mount Sinai School of Medicine Endocrinology, Diabetes & Metabolism CurrentSince May 16, 2023 Accepting new patients

Locations

325 Park Ave
Huntington, NY 11743
Phone (631) 351-3700

3712 82nd St
Ste 2
Jackson Heights, NY 11372
Phone (718) 879-1600

9901 Queens Blvd
Rego Park, NY 11374
Phone (718) 268-4500

Networks

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

Organizations & group practices 2

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 9

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": "1397952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698710400000",
    "number": "1316367162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9901 QUEENS BLVD",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113744512",
            "telephone_number": "718-520-6100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9901 QUEENS BLVD",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113744512",
            "telephone_number": "718-520-6100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "355 Bard Ave",
            "address_2": "Department of Medicine Villa Bldg 1st Floor",
            "address_purpose": "LOCATION",
            "city": "Staten Island",
            "state": "NY",
            "postal_code": "103101664",
            "country_code": "US",
            "telephone_number": "718-818-2419",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "355 Bard Ave",
            "address_2": "Department of Medicine Villa Bldg 1st Floor",
            "address_purpose": "LOCATION",
            "city": "Staten Island",
            "state": "NY",
            "postal_code": "103101664",
            "country_code": "US",
            "telephone_number": "718-818-2419",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1100 Grampian Blvd",
            "address_purpose": "LOCATION",
            "city": "Williamsport",
            "state": "PA",
            "postal_code": "17701",
            "country_code": "US",
            "telephone_number": "570-320-7848",
            "fax_number": "570-320-7856",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KHINE",
        "first_name": "LE YU",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-20",
        "last_updated": "2023-10-31",
        "certification_date": "2023-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "NY",
            "license": "321336",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rego Park, NY

Sources for this page

Verify at the official NPI Registry.