Individual provider Active NPI

Cindy Yip

  • Nephrology Physician
  • Fredonia, NY
National Provider Identifier
1710364443
Registry record updated Jan 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
301546 Issued in NY
Practice address
12 Center St
Suite 1
Fredonia, NY 14063-1769
Phone
(716) 679-2233
NPI assigned
May 1, 2015
Last updated
Jan 25, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 301546 NY
Nephrology Physician 207RN0300X 301546 NY Primary

Addresses

Primary practice location

12 Center St
Suite 1
Fredonia, NY 14063-1769

Mailing address

12 Center St
Suite 1
Fredonia, NY 14063-1769

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address cindy.s.yip@upmcdirect.com Direct

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
I20201111001895 NY Practitioner - NephrologyPractitioner - Internal Medicine 2769727650 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nephrology Associates of Western New York, LLPGroup PAC ID 3476520560, 15 clinicians

Practice addresses (Care Compare)

1306 Sweet Home Rd
Amherst, NY 14228-2792
Phone (716) 838-3188

220 Red Tail Rd
Suite 2
Orchard Park, NY 14127-1599
Phone (716) 712-0864

462 Grider St
Buffalo, NY 14215-3021
Phone (716) 898-3000

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Nephrology Associates of Western New York, LLP Nephrology CurrentSince Dec 1, 2024 Accepting new patients
Jamestown Area Medical Associates, L.L.P. Internal Medicine CurrentSince Jun 1, 1997 Accepting new patients
Erie County Medical Center Corporation CurrentSince Apr 26, 2023 Accepting new patients
Great Lakes Physician Practice PC Internal Medicine CurrentSince Sep 1, 2020 Accepting new patients
Erie County Medical Center Corporation CurrentSince Apr 26, 2023 Accepting new patients

Locations

1306 Sweet Home Rd
Buffalo, NY 14228
Phone (716) 222-0297

462 Grider St
Cheektowaga, NY 14215
Phone (716) 831-8612

504 Central Ave
Dunkirk, NY 14048
Phone (716) 366-9008

12 Center St
Ste 1
Fredonia, NY 14063
Phone (716) 672-5420

31 Sherman St
Ste 2400
Jamestown, NY 14701
Phone (814) 483-5306

Interoperability endpoints

  • Direct secure messaging: cyip@nephrologypractice.medentdirect.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 16

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

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1430438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706140800000",
    "number": "1710364443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 CENTER ST",
            "address_2": "SUITE 1",
            "city": "FREDONIA",
            "state": "NY",
            "postal_code": "140631769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 CENTER ST",
            "address_2": "SUITE 1",
            "city": "FREDONIA",
            "state": "NY",
            "postal_code": "140631769",
            "telephone_number": "716-679-2233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YIP",
        "first_name": "CINDY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-01",
        "last_updated": "2024-01-25",
        "certification_date": "2023-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "301546",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NY",
            "license": "301546",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cindy.s.yip@upmcdirect.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "600 Grant St",
            "address_2": "Floor 58",
            "city": "Pittsburgh",
            "state": "PA",
            "country_code": "US",
            "postal_code": "152192702",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fredonia, NY

Sources for this page

Verify at the official NPI Registry.