Individual provider Active NPI

Shun-Tzu Yeh

  • Adult Health Nurse Practitioner
  • Brooklyn, NY
National Provider Identifier
1578247334
Registry record updated Jun 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
311293 Issued in NY
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

Updated by the provider on Jun 12, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231108002975 NY Practitioner - Nurse Practitioner 0547617888 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
809369NYMDRegistered Nurse
RN.501199OHMDRegistered Nurse
311293NYMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Four Season Medical PLLC Adult Health CurrentSince Sep 16, 2023 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.

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

Verify at the official NPI Registry.