Individual provider Active NPI

Peter I Yi, M.D.

  • Hematology & Oncology Physician
  • Princeton, NJ
National Provider Identifier
1457499618
Registry record updated Jan 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
25MA05176900 Issued in NJ
Practice address
419 N Harrison St
Suite 101
Princeton, NJ 08540-3521
Phone
(609) 924-9300
Fax
(609) 430-9481
NPI assigned
Feb 1, 2007
Last updated
Jan 12, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X 25MA05176900 NJ Primary

Addresses

Primary practice location

419 N Harrison St
Suite 101
Princeton, NJ 08540-3521

Mailing address

419 N Harrison St
Princeton, NJ 08540-3521
Phone (609) 924-9300

Other identifiers 9

IdentifierTypeStateIssuer
0429725000OtherAMERIHLTH IBC SPECIALTY
607077OtherAMERIHLTH ADMIN SPECIALTY
898197OtherAETNA HMO NONHMO SPEC.
1811185OtherUNITED HEALTHCARE
MEP077OtherOXFORD PCP
MES083OtherOXFORD SPECIALTY
0365700MedicaidNJ
110137127OtherRAILROAD MED. PRINCETON
110137132OtherRAILROAD MED. MONROE

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101116000090 NJ Practitioner - Hematology/Oncology 1153331731 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hematology/Oncology
Education
JS Weill Medical College, Cornell University, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Princeton Medical Group,P.a.Group PAC ID 6406835305, 36 clinicians

Practice addresses (Care Compare)

419 N Harrison St
Princeton, NJ 08540-3594
Phone (609) 924-9300

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA05176900NJMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Princeton Medical Group,P.a. Hematology & Oncology CurrentSince Jul 10, 1990 Accepting new patients
Princeton Medical Group, P.a. PastSince Jul 10, 1990 Accepting new patients

Locations

3 Liberty St
Plainsboro, NJ 08536
Phone (609) 924-9300

419 N Harrison St
Princeton, NJ 08540
Phone (609) 921-9437

419 N Harrison St
#4557
Princeton, NJ 08540
Phone (609) 655-8800

419 N Harrison St
Ste 101
Princeton, NJ 08540
Phone (609) 924-9300

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: peter.yi.p1@direct.princetonmedicalgrp.nextgenshare.com

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1170288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421020800000",
    "number": "1457499618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "419 N HARRISON ST",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "085403521",
            "telephone_number": "609-924-9300",
            "fax_number": "609-430-9481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "419 N HARRISON ST",
            "address_2": "SUITE 101",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "085403521",
            "telephone_number": "609-924-9300",
            "fax_number": "609-430-9481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YI",
        "first_name": "PETER",
        "middle_name": "I",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-01",
        "last_updated": "2015-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "NJ",
            "license": "25MA05176900",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHLTH IBC SPECIALTY",
            "identifier": "0429725000",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHLTH ADMIN SPECIALTY",
            "identifier": "607077",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO NONHMO SPEC.",
            "identifier": "898197",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "1811185",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD PCP",
            "identifier": "MEP077",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD SPECIALTY",
            "identifier": "MES083",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0365700",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MED. PRINCETON",
            "identifier": "110137127",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MED. MONROE",
            "identifier": "110137132",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Princeton, NJ

Sources for this page

Verify at the official NPI Registry.