Individual provider Active NPI

Yeon Joung Elebiary, FNP

  • Family Nurse Practitioner
  • Bay Shore, NY
National Provider Identifier
1487064424
Registry record updated Mar 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F338581-1 Issued in NY
Practice address
46 Brentwood Rd
Bay Shore, NY 11706-6924
Phone
(631) 647-3800
Fax
(631) 968-3749
NPI assigned
Apr 29, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical-Surgical Registered Nurse 163WM0705X 592766 NY
Family Nurse Practitioner 363LF0000X F338581-1 NY Primary

Addresses

Primary practice location

46 Brentwood Rd
Bay Shore, NY 11706-6924

Mailing address

23 Orchid LN
New Hyde Park, NY 11040-1917
Phone (646) 417-4905

Other practice location 1

4221 162nd St Apt 1
Flushing, NY 11358-4151
Phone (718) 463-0101

Other practice location 2

3825 Parsons Blvd Ste 1G
Flushing, NY 11354-5839
Phone (718) 353-4100

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: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150212000627 NY Practitioner - Nurse Practitioner 9537484613 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Shore-Lij Medical PCGroup PAC ID 3375701568, 6,374 clinicians

Practice addresses (Care Compare)

200 E Main St
Babylon, NY 11702-3510

300 Community Dr
Manhasset, NY 11030-3816

300 Community Dr LL
Manhasset, NY 11030-3816
Phone (516) 562-2229

301 E Main St
Bay Shore, NY 11706-8408

330 Community Dr
Manhasset, NY 11030-3816
Phone (516) 708-2550

350 Community Dr
Manhasset, NY 11030-3816
Phone (516) 562-3845

46 Brentwood Rd
Bay Shore, NY 11706-6924
Phone (631) 587-1800

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.07 of 100Reported as apm
Quality
79.77
Promoting interoperability
88.77
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
592766NYMDMedical-Surgical Registered Nurse
F338581-1NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
North Shore-Lij Medical PC CurrentSince Aug 25, 2014 Accepting new patients
Wy NP in Family Health PC Current Accepting new patients
Dr. Lees Medical Associates, LLP CurrentSince Jan 1, 2025 Accepting new patients
William Shin Pediatric PC Past Accepting new patients
Song Heart and Vascular PC Past Accepting new patients

Locations

301 Montauk Hwy
Bay Shore, NY 11706
Phone (631) 630-3977

46 Brentwood Rd
Bay Shore, NY 11706
Phone (631) 206-1384

4121 162nd St
Fl 1
Flushing, NY 11358
Phone (718) 463-0101

3825 Parsons Blvd
Ste 1G
Flushing, NY 11354
Phone (718) 353-4100

300 Community Dr
Plandome, NY 11030

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

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": "1398729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740960000000",
    "number": "1487064424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 ORCHID LN",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110401917",
            "telephone_number": "646-417-4905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46 BRENTWOOD RD",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "117066924",
            "telephone_number": "631-647-3800",
            "fax_number": "631-968-3749"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4221 162nd St Apt 1",
            "address_purpose": "LOCATION",
            "city": "Flushing",
            "state": "NY",
            "postal_code": "113584151",
            "country_code": "US",
            "telephone_number": "718-463-0101",
            "fax_number": "917-563-5321",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3825 Parsons Blvd Ste 1G",
            "address_purpose": "LOCATION",
            "city": "Flushing",
            "state": "NY",
            "postal_code": "113545839",
            "country_code": "US",
            "telephone_number": "718-353-4100",
            "fax_number": "718-939-5500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ELEBIARY",
        "first_name": "YEON",
        "middle_name": "JOUNG",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-29",
        "last_updated": "2025-03-03",
        "certification_date": "2025-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WM0705X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Medical-Surgical",
            "state": "NY",
            "license": "592766",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F338581-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bay Shore, NY

Sources for this page

Verify at the official NPI Registry.