Active NPI
William C Yu, MD
- Pediatrics Physician
- Jersey City, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 25MA05798000
- Practice address
- 377 Jersey Ave
Suite 420
Jersey City, NJ 07302-4393 - Phone
- (201) 333-0003
- Fax
- (201) 333-0006
- NPI assigned
- Jun 28, 2005
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 25MA05798000 | NJ | Primary |
Addresses
Primary practice location
377 Jersey Ave
Suite 420
Jersey City, NJ 07302-4393
Mailing address
377 Jersey Ave
Suite 420
Jersey City, NJ 07302-4393
Phone (201) 333-0003
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5258405 | Medicaid | NJ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advocare , LLC | Current | Accepting new patients | |
| Advocare, LLC | Pediatrics | Current | Accepting new patients |
Locations
169 Mine Brook Rd
#P
Bernardsville, NJ 07924
Phone (908) 766-0034
132 Grove St
Ste A
Haddonfield, NJ 08033
Phone (856) 354-2211
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Pediatrics Physician
- Marlton, NJ
- NPI 1770538696
-
dba Advocare Berlin Medical Associates (DME)
- Internal Medicine Physician
- Manahawkin, NJ
- NPI 1912762162
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119916800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1325030400000",
"number": "1407852056",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "377 JERSEY AVE",
"address_2": "SUITE 420",
"city": "JERSEY CITY",
"state": "NJ",
"postal_code": "073024393",
"telephone_number": "201-333-0003",
"fax_number": "201-333-0006"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "377 JERSEY AVE",
"address_2": "SUITE 420",
"city": "JERSEY CITY",
"state": "NJ",
"postal_code": "073024393",
"telephone_number": "201-333-0003",
"fax_number": "201-333-0006"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YU",
"first_name": "WILLIAM",
"middle_name": "C",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-28",
"last_updated": "2011-12-28",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NJ",
"license": "25MA05798000",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5258405",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Jersey City, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.