Active NPI
Henry Yu
- Physician Assistant
- Bronx, NY
National Provider Identifier
1629043096
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 0108131
- Practice address
- 2426 Eastchester Rd Ste 212
Bronx, NY 10469 - Phone
- (718) 865-8733
- NPI assigned
- Feb 21, 2006
- Last updated
- Oct 30, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 0108131 | NY | Primary |
Addresses
Primary practice location
2426 Eastchester Rd Ste 212
Bronx, NY 10469
Mailing address
2426 Eastchester Rd Ste 212
Bronx, NY 10469-5950
Phone (718) 865-8733
Other practice location 1
200 Central Park S
suite 107
New York, NY 10019-1436
Phone (212) 262-2500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02809612 | Medicaid | NY |
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
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0108131 | NY | MD | Physician Assistant |
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/BDFGCA/Endpoint/BDFGCA
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140480000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1572393600000",
"number": "1629043096",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2426 EASTCHESTER RD STE 212",
"city": "BRONX",
"state": "NY",
"postal_code": "104695950",
"telephone_number": "718-865-8733"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2426 EASTCHESTER RD STE 212",
"city": "BRONX",
"state": "NY",
"postal_code": "10469",
"telephone_number": "718-865-8733"
}
],
"practiceLocations": [
{
"address_1": "200 Central Park S",
"address_2": "suite 107",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100191436",
"country_code": "US",
"telephone_number": "212-262-2500",
"fax_number": "212-246-0890",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "YU",
"first_name": "HENRY",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-21",
"last_updated": "2019-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NY",
"license": "0108131",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02809612",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2019; 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.