Individual provider Active NPI

Eunice Yang, MD

  • Surgery Physician
  • Kingston, NY
National Provider Identifier
1396372009
Registry record updated Aug 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
313221 Issued in NY
Practice address
105 Marys Ave
Kingston, NY 12401-5829
Phone
(914) 806-1087
NPI assigned
Mar 24, 2020
Last updated
Aug 3, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 313221 NY Primary
Surgical Critical Care Physician 2086S0102X 313221 NY

Addresses

Primary practice location

105 Marys Ave
Kingston, NY 12401-5829

Mailing address

105 Marys Ave
Kingston, NY 12401-5829
Phone (914) 806-1087

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address eunice.yang@wmchealth.cernerdirect.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NY2 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
I20251223002621 PA Practitioner - General Surgery 7517336712 Reassigns benefits to 1 organization
I20260429001343 NY Practitioner - General Surgery 7517336712 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Lukes Physician Group IncGroup PAC ID 6709798333, 2,161 clinicians

Practice addresses (Care Compare)

360 W Riddle St
Coaldale, PA 18218-1027

500 St Lukes Dr
Lehighton, PA 18235-5000
Phone (484) 526-2200

801 Ostrm St
Bethlehem, PA 18015-1000

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD492387PAMDSurgery Physician
MT233269PAMDSurgical Critical Care Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Luke's Physician Group Inc CurrentSince Jan 1, 2026 Accepting new patients
St Luke's Physician Group Inc CurrentSince Jan 1, 2026 Accepting new patients
St. Luke's Physician Group, Inc. Past Accepting new patients

Locations

3565 Route 611
Ste 300
Bartonsville, PA 18321
Phone (272) 212-0105

2545 Schoenersville Rd
Bethlehem, PA 18017
Phone (484) 884-2888

634 E Broad St
Bethlehem, PA 18018
Phone (610) 625-4885

2200 St Lukes Blvd
Ste 230
Easton, PA 18045
Phone (484) 503-2500

701 Ostrum St
Ste 202
Fountain Hill, PA 18015
Phone (484) 526-2000

801 Ostrum St
Fountain Hill, PA 18015
Phone (610) 954-2200

915 Lawn Ave
Ste 203
Sellersville, PA 18960
Phone (215) 257-3697

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1585008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785715200000",
    "number": "1396372009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 MARYS AVE",
            "city": "KINGSTON",
            "state": "NY",
            "postal_code": "124015829",
            "telephone_number": "914-806-1087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 MARYS AVE",
            "city": "KINGSTON",
            "state": "NY",
            "postal_code": "124015829",
            "telephone_number": "914-806-1087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YANG",
        "first_name": "EUNICE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-24",
        "last_updated": "2026-08-03",
        "certification_date": "2026-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NY",
            "license": "313221",
            "primary": true
        },
        {
            "code": "2086S0102X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Critical Care",
            "state": "NY",
            "license": "313221",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "eunice.yang@wmchealth.cernerdirect.com",
            "affiliation": "N",
            "endpointDescription": "APS surgery",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "105 Marys Ave",
            "city": "Kingston",
            "state": "NY",
            "country_code": "US",
            "postal_code": "124015829",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Kingston, NY

Sources for this page

Verify at the official NPI Registry.