Renato Yu M.D. F.a.a.P., P.C.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

225662 Issued in NY

Legal business name

RENATO YU M.D. F.A.A.P., P.C.

Practice address

7506 Eliot Ave
Middle Village, NY 11379-1207

Phone

(718) 898-1515

Fax

(718) 533-9072

NPI assigned

Nov 4, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Robert Michael Yu, M.D.

Title

President

Phone

(718) 898-1515

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1288828800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1394409600000",
    "number": "1487955688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7506 ELIOT AVE",
            "city": "MIDDLE VILLAGE",
            "state": "NY",
            "postal_code": "113791207",
            "telephone_number": "718-898-1515",
            "fax_number": "718-533-9072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7506 ELIOT AVE",
            "city": "MIDDLE VILLAGE",
            "state": "NY",
            "postal_code": "113791207",
            "telephone_number": "718-898-1515",
            "fax_number": "718-533-9072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENATO YU M.D. F.A.A.P., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-04",
        "last_updated": "2014-03-10",
        "status": "A",
        "authorized_official_last_name": "YU",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-898-1515",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "225662",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02093667",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02921933",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Pediatrics Physician in Middle Village, NY
• Providers in Middle Village, NY by specialty
• Pediatrics Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.