Individual provider Active NPI

Patty S Yu, D.O

  • Surgical Critical Care Physician
  • Astoria, NY
National Provider Identifier
1669793972
Registry record updated Oct 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Critical Care PhysicianTaxonomy code 2086S0102X
License
279423 Issued in NY
Practice address
3016 30TH Dr Ste 3B
Astoria, NY 11102
Phone
(718) 626-0707
Fax
(718) 545-0333
NPI assigned
Jun 21, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 1, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208600000X 279423 NY
Trauma Surgery Physician 2086S0127X 279423 NY
Surgical Critical Care Physician 2086S0102X 279423 NY Primary

Addresses

Primary practice location

3016 30TH Dr Ste 3B
Astoria, NY 11102

Mailing address

3016 30TH Dr Ste 3B
Astoria, NY 11102-1890
Phone (718) 626-0707

Other practice location 1

1 Healthy Way
Department of Surgery
Oceanside, NY 11572-1551
Phone (516) 632-3000

Other practice location 2

1060 5th Ave # 1B
New York, NY 10128-0104
Phone (212) 988-8269

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161020000655 NY Practitioner - General Surgery 2264710565 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
New York College of Osteo Medicine of New York Institute of Technology, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Related Surgical Specialties, PCGroup PAC ID 7810351459, 12 clinicians
Surgical Specialists of Greater Ny LLPGroup PAC ID 3375729833, 12 clinicians

Practice addresses (Care Compare)

3016 30TH Dr
Suite 3B
Astoria, NY 11102-1890
Phone (718) 626-0707

40 Berry Hill Rd
Oyster Bay, NY 11771-3515
Phone (718) 626-0707

Hospital & facility affiliations

  • Lenox Hill Hospital Hospital, New York, NY, CCN 330119
  • Brooklyn Hospital Center - Downtown Campus Hospital, Brooklyn, NY, CCN 330056

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hernia repair (minimally invasive)1-10
Melanoma (skin cancer) excision1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Emusc, LLC CurrentSince Oct 26, 2019 Accepting new patients
Related Surgical Specialties, PC Multi-Specialty CurrentSince Sep 30, 2025 Accepting new patients
South Nassau Physician Practice PC Multi-Specialty CurrentSince Sep 12, 2016 Accepting new patients
Mount Sinai School of Medicine Multi-Specialty CurrentSince May 1, 2019 Accepting new patients
Mount Sinai School of Medicine Multi-Specialty CurrentSince May 1, 2019 Accepting new patients
Mount Sinai School of Medicine Multi-Specialty Current Accepting new patients
Related Surgical Specialties, PC Multi-Specialty CurrentSince Sep 30, 2025 Accepting new patients

Locations

3016 30th Dr
Ste 3B
Astoria, NY 11102
Phone (973) 972-2323

8340 Woodhaven Blvd
Glendale, NY 11385
Phone (718) 441-0101

1 Healthy Way
Oceanside, NY 11572
Phone (516) 255-1581

1 Healthy Way
Ste Hb
Oceanside, NY 11572

1 S Central Ave
Valley Stream, NY 11580
Phone (516) 632-3300

6110 Queens Blvd
Ste B
Woodside, NY 11377
Phone (917) 626-6457

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678

Interoperability endpoints

  • Direct secure messaging: pyu65667@northwell.direct-ci.com

Organizations & group practices 8

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1277078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569888000000",
    "number": "1669793972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3016 30TH DR STE 3B",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111021890",
            "telephone_number": "718-626-0707",
            "fax_number": "718-545-0333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3016 30TH DR STE 3B",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "11102",
            "telephone_number": "718-626-0707",
            "fax_number": "718-545-0333"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Healthy Way",
            "address_2": "Department of Surgery",
            "address_purpose": "LOCATION",
            "city": "Oceanside",
            "state": "NY",
            "postal_code": "115721551",
            "country_code": "US",
            "telephone_number": "516-632-3000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1060 5th Ave # 1B",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "101280104",
            "country_code": "US",
            "telephone_number": "212-988-8269",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YU",
        "first_name": "PATTY",
        "middle_name": "S",
        "credential": "D.O",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-06-21",
        "last_updated": "2019-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": "NY",
            "license": "279423",
            "primary": false
        },
        {
            "code": "2086S0127X",
            "taxonomy_group": "",
            "desc": "Surgery, Trauma Surgery",
            "state": "NY",
            "license": "279423",
            "primary": false
        },
        {
            "code": "2086S0102X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Critical Care",
            "state": "NY",
            "license": "279423",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Astoria, NY

Sources for this page

Verify at the official NPI Registry.