Active NPI
Lily C. Yen, PT
- Physical Therapist
- Bayside, NY
National Provider Identifier
1396798443
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 022702
- Practice address
- 2842 209TH PL
Bayside, NY 11360-2425 - Phone
- (718) 229-5387
- NPI assigned
- May 18, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 022702 | NY | Primary |
Addresses
Primary practice location
2842 209TH PL
Bayside, NY 11360-2425
Mailing address
2842 209TH PL
Bayside, NY 11360-2425
Phone (718) 229-5387
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02692831 | 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 022702 | NY | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147910400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1291766400000",
"number": "1396798443",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2842 209TH PL",
"city": "BAYSIDE",
"state": "NY",
"postal_code": "113602425",
"telephone_number": "718-229-5387"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2842 209TH PL",
"city": "BAYSIDE",
"state": "NY",
"postal_code": "113602425",
"telephone_number": "718-229-5387"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YEN",
"first_name": "LILY",
"middle_name": "C.",
"name_prefix": "Ms.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-18",
"last_updated": "2010-12-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "022702",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02692831",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bayside, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.