Active NPI
Kang Yu, MD
- Psychiatry Physician
- Seneca Falls, NY
National Provider Identifier
1346354800
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 110290
- Practice address
- 12 N Park St
Seneca Falls, NY 13148-1437 - Phone
- (315) 539-1980
- Fax
- (315) 539-1054
- NPI assigned
- Aug 19, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 110290 | NY | Primary |
Addresses
Primary practice location
12 N Park St
Seneca Falls, NY 13148-1437
Mailing address
12 N Park St
Seneca Falls, NY 13148-1437
Phone (315) 539-1980
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110290 | Medicaid | NY |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155945600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1225324800000",
"number": "1346354800",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12 N PARK ST",
"city": "SENECA FALLS",
"state": "NY",
"postal_code": "131481437",
"telephone_number": "315-539-1980",
"fax_number": "315-539-1054"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12 N PARK ST",
"city": "SENECA FALLS",
"state": "NY",
"postal_code": "131481437",
"telephone_number": "315-539-1980",
"fax_number": "315-539-1054"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YU",
"first_name": "KANG",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-19",
"last_updated": "2008-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NY",
"license": "110290",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "110290",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Seneca Falls, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 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.