Active NPI
Shun-Tzu Yeh
- Adult Health Nurse Practitioner
- Brooklyn, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 311293
- Practice address
- 837 59TH St
Brooklyn, NY 11220-5576 - Phone
- (718) 680-8881
- NPI assigned
- Jun 12, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 311293 | NY | Primary |
| Registered Nurse | 163W00000X | 809369 | NY | |
| Registered Nurse | 163W00000X | RN.501199 | OH |
Addresses
Primary practice location
837 59TH St
Brooklyn, NY 11220-5576
Mailing address
99 Cresta Verde Dr
Rolling Hills Estates, CA 90274-5477
Phone (216) 600-6625
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 809369 | NY | MD | Registered Nurse |
| RN.501199 | OH | MD | Registered Nurse |
| 311293 | NY | MD | Licensed Practical Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Four Season Medical PLLC | Adult Health | Current | Accepting new patients |
| Well Wellness Medical PLLC | Past | Accepting new patients |
Locations
837 59th St
Brooklyn, NY 11220
Phone (718) 975-8415
7112 Bay Pkwy
Brooklyn, NY 11204
Phone (718) 232-8500
2041 86th St
Brooklyn, NY 11214
Phone (718) 266-2284
7116 Bay Pkwy
Brooklyn, NY 11204
Phone (718) 232-8500
7112 Bay Pkwy
#3
Brooklyn, NY 11204
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
Organizations & group practices 2
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.
-
- Specialist
- Brooklyn, NY
- NPI 1114620531
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1686528000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1686528000000",
"number": "1578247334",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "99 CRESTA VERDE DR",
"city": "ROLLING HILLS ESTATES",
"state": "CA",
"postal_code": "902745477",
"telephone_number": "216-600-6625"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "837 59TH ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112205576",
"telephone_number": "718-680-8881"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YEH",
"first_name": "SHUN-TZU",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-06-12",
"last_updated": "2023-06-12",
"certification_date": "2023-06-12",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "NY",
"license": "311293",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NY",
"license": "809369",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "OH",
"license": "RN.501199",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2023; 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.