Active NPI
Sau Ping Yu, DPM
- Podiatrist
- New York, NY
National Provider Identifier
1447252937
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- N004166
- Practice address
- 210-212 Canal St
Ste 507
New York, NY 10013 - Phone
- (212) 267-4580
- Fax
- (212) 267-4580
- NPI assigned
- Aug 15, 2005
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Podiatrist | 213E00000X | N004166 | NY | Primary |
Addresses
Primary practice location
210-212 Canal St
Ste 507
New York, NY 10013
Mailing address
210-212 Canal St
Ste 507
New York, NY 10013
Phone (212) 267-4580
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00971242 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100917000534 | NY | Practitioner - Podiatry | 9739204488 | Practice locations: New York, NY |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| N004166 | NY | MD | Podiatrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124064000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1274659200000",
"number": "1447252937",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "210-212 CANAL ST",
"address_2": "STE 507",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10013",
"telephone_number": "212-267-4580",
"fax_number": "212-267-4580"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "210-212 CANAL ST",
"address_2": "STE 507",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10013",
"telephone_number": "212-267-4580",
"fax_number": "212-267-4580"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YU",
"first_name": "SAU PING",
"name_prefix": "Dr.",
"credential": "DPM",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-08-15",
"last_updated": "2010-05-24",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "NY",
"license": "N004166",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00971242",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2010; 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.