Individual provider Active NPI

Raymond L Yung, MD

  • Otolaryngology Physician
  • New York, NY
National Provider Identifier
1487659975
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
185578 Issued in NY
Practice address
217 Grand Street
6TH Floor
New York, NY 10013-4286
Phone
(212) 625-8069
Fax
(212) 431-8246
NPI assigned
Jun 20, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 185578 NY Primary

Addresses

Primary practice location

217 Grand Street
6TH Floor
New York, NY 10013-4286

Mailing address

217 Grand Street
6TH Floor
New York, NY 10013-4286
Phone (212) 625-8069

Other practice location 1

863 50th Street 2nd Floor
Suite M4
Brooklyn, NY 11220-2417
Phone (718) 853-2346

Other practice location 2

3808 Union St Ste 7E
Flushing, NY 11354-5500
Phone (718) 353-9346

Other identifiers 18

IdentifierTypeStateIssuer
01888215MedicaidNY
113501469YU01OtherNYCARE PLUS
010185578NY01OtherNYANTHEM
185578-A20OtherNYHEALTHFIRST
185578-A31OtherNY1199NBF
2200742OtherNYAETNA HMO
2C7453OtherNYHEALTH NET
YR5578OtherNYATLANTIS HEALTH PLAN
000000089754OtherNYGHI HMO
1000036961OtherNYAFFINITY HEALTH PLAN
113501469OtherNYGREAT-WEST HEALTHCARE
CS1040OtherNYOXFORD HEALTH PLAN
0600362OtherNYGHI
113501469OtherNYUNITED HEALTHCARE
177890101OtherNYHEALTH PLUS
4655590OtherNYAETNA PPO
113501469OtherNYHUMANA
9422652011OtherNYCIGNA

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040610001375 NY Practitioner - Otolaryngology 6002899937 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Tufts University School of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Raymond L Yung MD PCGroup PAC ID 5991809931, 2 clinicians

Practice addresses (Care Compare)

217 Grand St
Suite 6
New York, NY 10013-4396
Phone (212) 625-8069

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
185578NYMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Raymond L Yung MD PC CurrentSince Jul 23, 1999 Accepting new patients
Oriental K. Inc. Past Accepting new patients
Complete Podiatry Services, P.C. Past Accepting new patients

Locations

3808 Union St
Ste 7E
Flushing, NY 11354
Phone (718) 353-6150

4160 Main St
Ste 310A
Flushing, NY 11355
Phone (718) 353-9346

217 Grand St
Ste 6
New York, NY 10013
Phone (212) 625-8069

Networks

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

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1119225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1487659975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "217 GRAND STREET",
            "address_2": "6TH FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100134286",
            "telephone_number": "212-625-8069",
            "fax_number": "212-431-8246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 GRAND STREET",
            "address_2": "6TH FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100134286",
            "telephone_number": "212-625-8069",
            "fax_number": "212-431-8246"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "863 50th Street 2nd Floor",
            "address_2": "Suite M4",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112202417",
            "country_code": "US",
            "telephone_number": "718-853-2346",
            "fax_number": "212-431-8246",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3808 Union St Ste 7E",
            "address_purpose": "LOCATION",
            "city": "Flushing",
            "state": "NY",
            "postal_code": "113545500",
            "country_code": "US",
            "telephone_number": "718-353-9346",
            "fax_number": "212-431-8246",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YUNG",
        "first_name": "RAYMOND",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-20",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "NY",
            "license": "185578",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01888215",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARE PLUS",
            "identifier": "113501469YU01",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "010185578NY01",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHFIRST",
            "identifier": "185578-A20",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "1199NBF",
            "identifier": "185578-A31",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO",
            "identifier": "2200742",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH NET",
            "identifier": "2C7453",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ATLANTIS HEALTH PLAN",
            "identifier": "YR5578",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI HMO",
            "identifier": "000000089754",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AFFINITY HEALTH PLAN",
            "identifier": "1000036961",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GREAT-WEST HEALTHCARE",
            "identifier": "113501469",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD HEALTH PLAN",
            "identifier": "CS1040",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "0600362",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "113501469",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PLUS",
            "identifier": "177890101",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PPO",
            "identifier": "4655590",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA",
            "identifier": "113501469",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "9422652011",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.