Organization Active NPI

Ya-Tseng William Lu, M.D., PLLC

  • Anesthesiology Physician
  • Staten Island, NY
National Provider Identifier
1467004556
Registry record updated Jun 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
YA-TSENG WILLIAM LU, M.D., PLLC
Practice address
2015 Forest Ave Ste A3
Staten Island, NY 10303-1736
Phone
(718) 815-1000
Fax
(718) 815-8122
NPI assigned
Jul 10, 2019
Last updated
Jun 28, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2020

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

Authorized official

Name
Dr. Ya-Tseng William Lu, MDNPI 1134162431
Title
President
Phone
(732) 803-6135

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X Primary

Addresses

Primary practice location

2015 Forest Ave Ste A3
Staten Island, NY 10303-1736

Mailing address

PO Box 6852
Bridgewater, NJ 08807-0852
Phone (516) 288-2718

Other practice location 1

10A S Park Ave
Rockville Centre, NY 11570-5213
Phone (516) 288-2718

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20191003000937 NY Part B Supplier - Clinic/Group Practice 9436480522 Receives reassigned benefits from 1 practitioner
Practice locations: Flushing, NY; Queens Village, NY

National Provider Directory

National Provider Directory

Locations

894 Bedford Ave
Brooklyn, NY 11205

17660 Union Tpke
Ste 130
Fresh Meadows, NY 11366
Phone (718) 591-1657

10A S Park Ave
Rockville Centre, NY 11570
Phone (516) 288-2718

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1562716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1593302400000",
    "number": "1467004556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6852",
            "city": "BRIDGEWATER",
            "state": "NJ",
            "postal_code": "088070852",
            "telephone_number": "516-288-2718",
            "fax_number": "732-875-1265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2015 FOREST AVE STE A3",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103031736",
            "telephone_number": "718-815-1000",
            "fax_number": "718-815-8122"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10A S Park Ave",
            "address_purpose": "LOCATION",
            "city": "Rockville Centre",
            "state": "NY",
            "postal_code": "115705213",
            "country_code": "US",
            "telephone_number": "516-288-2718",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "YA-TSENG WILLIAM LU, M.D., PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-10",
        "last_updated": "2020-06-28",
        "certification_date": "2020-06-28",
        "status": "A",
        "authorized_official_last_name": "LU",
        "authorized_official_first_name": "YA-TSENG",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "732-803-6135",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.