Active NPI
Yjh Medical PC
- Internal Medicine Physician
- Niagara Falls, NY
National Provider Identifier
1407248453
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 239582
- Legal business name
- YJH MEDICAL PC
- Practice address
- 1 Colomba Dr Ste 2
Niagara Falls, NY 14305-1275 - Phone
- (716) 501-5501
- Fax
- (716) 215-6400
- NPI assigned
- Feb 28, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Beth Macswan
- Title
- Office Manager
- Phone
- (716) 501-5501
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 239582 | NY | Primary |
Addresses
Primary practice location
1 Colomba Dr Ste 2
Niagara Falls, NY 14305-1275
Mailing address
1 Colomba Dr Ste 2
Niagara Falls, NY 14305-1275
Phone (716) 501-5501
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 33D2300325 | Yjh Medical PC | Certificate of waiver | Mar 6, 2028 |
National Provider Directory
National Provider DirectoryLocations
4515 Military Rd
Niagara Falls, NY 14305
Phone (716) 236-7880
Practitioners & affiliated clinicians
Practitioners 8
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Nurse Practitioner
- Niagara Falls, NY
- NPI 1144774621
-
- Internal Medicine Physician
- Lewiston, NY
- NPI 1861433930
-
- Nurse Practitioner
- Niagara Falls, NY
- NPI 1629525167
-
- Adult Health Nurse Practitioner
- Buffalo, NY
- NPI 1770904195
-
- Adult Health Nurse Practitioner
- Niagara Falls, NY
- NPI 1255660734
-
- Family Nurse Practitioner
- Buffalo, NY
- NPI 1245416387
-
- Psychiatric/Mental Health Nurse Practitioner
- Warsaw, NY
- NPI 1326030495
-
- Family Nurse Practitioner
- Niagara Falls, NY
- NPI 1043094170
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1425081600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1669680000000",
"number": "1407248453",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 COLOMBA DR STE 2",
"city": "NIAGARA FALLS",
"state": "NY",
"postal_code": "143051275",
"telephone_number": "716-501-5501",
"fax_number": "716-215-6400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 COLOMBA DR STE 2",
"city": "NIAGARA FALLS",
"state": "NY",
"postal_code": "143051275",
"telephone_number": "716-501-5501",
"fax_number": "716-215-6400"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "YJH MEDICAL PC",
"organizational_subpart": "NO",
"enumeration_date": "2015-02-28",
"last_updated": "2022-11-29",
"certification_date": "2022-11-29",
"status": "A",
"authorized_official_last_name": "MACSWAN",
"authorized_official_first_name": "BETH",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "716-501-5501",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "NY",
"license": "239582",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Niagara Falls, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.