Individual provider Active NPI

Stephanie N Yu, P.A.

  • Surgical Physician Assistant
  • Rochester, NY
National Provider Identifier
1629011796
Registry record updated Apr 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
009164 Issued in NY
Practice address
360 Linden Oaks
Suite #300
Rochester, NY 14625-2814
Phone
(585) 383-8830
Fax
(585) 383-8918
NPI assigned
Jun 14, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X 009164 NY Primary

Addresses

Primary practice location

360 Linden Oaks
Suite #300
Rochester, NY 14625-2814

Mailing address

100 Kings Highway S
Rochester, NY 14617-5504
Phone (585) 383-8830

Other practice location 1

1561 Long Pond Road Suite 220
Rochester, NY 14626-2814
Phone (585) 383-8830

Other identifiers 2

IdentifierTypeStateIssuer
P00337678OtherNYMEDICARE TRAVELERS
02782483MedicaidNY

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address syu24913@direct.rochesterregional.org

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
I20060721000042 NY Practitioner - Physician Assistant 1951314749 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1425 Portland Ave
Rochester, NY 14621-3001
Phone (585) 922-3122

1561 Long Pond Rd
Suite 220
Rochester, NY 14626-4135
Phone (585) 383-8830

360 Linden Oaks
Suite 300
Rochester, NY 14625-2814
Phone (585) 383-8830

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.62 of 100Reported as apm
Quality
74.51
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Rochester General Hospital CurrentSince Jun 20, 2016 Accepting new patients
Rochester General Hospital CurrentSince Jun 20, 2016 Accepting new patients
Western New York Medical Practice PC CurrentSince Jun 20, 2016 Accepting new patients
Western New York Medical Practice P.C. CurrentSince Jun 20, 2016 Accepting new patients

Locations

1425 Portland Ave
Rochester, NY 14621
Phone (585) 922-3122

100 Kings Hwy S
Rochester, NY 14617
Phone (585) 922-0553

1561 Long Pond Rd
Ste 220
Rochester, NY 14626
Phone (585) 368-3506

360 Linden Oaks
Ste 300
Rochester, NY 14625
Phone (585) 383-8830

Organizations & group practices 5

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": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619395200000",
    "number": "1629011796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 KINGS HIGHWAY S",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146175504",
            "telephone_number": "585-383-8830",
            "fax_number": "585-383-8918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 LINDEN OAKS",
            "address_2": "SUITE #300",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146252814",
            "telephone_number": "585-383-8830",
            "fax_number": "585-383-8918"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1561 Long Pond Road Suite 220",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "NY",
            "postal_code": "146262814",
            "country_code": "US",
            "telephone_number": "585-383-8830",
            "fax_number": "585-383-8901",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YU",
        "first_name": "STEPHANIE",
        "middle_name": "N",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-14",
        "last_updated": "2021-04-26",
        "certification_date": "2021-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "NY",
            "license": "009164",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE TRAVELERS",
            "identifier": "P00337678",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02782483",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "syu24913@direct.rochesterregional.org",
            "affiliation": "N",
            "address_1": "360 Linden Oaks",
            "address_2": "Suite #300",
            "city": "Rochester",
            "state": "NY",
            "country_code": "US",
            "postal_code": "146252814",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

Verify at the official NPI Registry.