Ruben Tapia Yatco, M.D.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

132536 Issued in NY

Practice address

177 Campbell Ave
Williston Park, NY 11596-1016

Phone

(516) 741-6872

Fax

(516) 741-7741

NPI assigned

Sep 14, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Manuel C Bulauitan MDPC

  • Legal Medicine
  • Jamaica Estates, NY
  • NPI 1548237407
  NPD (past)

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1292198400000",
    "number": "1548365612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "177 CAMPBELL AVE",
            "city": "WILLISTON PARK",
            "state": "NY",
            "postal_code": "115961016",
            "telephone_number": "516-741-6872",
            "fax_number": "516-741-7741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "177 CAMPBELL AVE",
            "city": "WILLISTON PARK",
            "state": "NY",
            "postal_code": "115961016",
            "telephone_number": "516-741-6872",
            "fax_number": "516-741-7741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YATCO",
        "first_name": "RUBEN",
        "middle_name": "TAPIA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-14",
        "last_updated": "2010-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NY",
            "license": "132536",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00781939",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jiliang Xiao
• Eve Alexandra Yanakis, BCBA
• Yang Wellness Corporation
• Qing Yang
• Xuemei Yang
• Janina Kirsten Yu, OTR
• Beibei Zhang, NP

• Surgery Physician in Williston Park, NY
• Providers in Williston Park, NY by specialty
• Surgery Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.