Individual provider Active NPI

Homan Yeung, D.C.

  • Chiropractor
  • Central Islip, NY
National Provider Identifier
1720352081
Registry record updated Nov 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X012058-1 Issued in NY
Practice address
46 W Suffolk Ave
Central Islip, NY 11722-2144
Phone
(347) 681-2110
NPI assigned
Mar 5, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 004945 NY
Chiropractor 111N00000X X012058-1 NY Primary

Addresses

Primary practice location

46 W Suffolk Ave
Central Islip, NY 11722-2144

Mailing address

7312 172ND St
Fresh Meadows, NY 11366-1421
Phone (347) 681-2110

Other practice location 1

7312 172nd St
Fresh Meadows, NY 11366-1421
Phone (347) 681-2110

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
X012058-1NYMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Optimal Health Chiropractic and Acupuncture PC Chiropractor Past Accepting new patients

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

NPI Registry JSON

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

{
    "created_epoch": "1330905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572998400000",
    "number": "1720352081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7312 172ND ST",
            "city": "FRESH MEADOWS",
            "state": "NY",
            "postal_code": "113661421",
            "telephone_number": "347-681-2110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46 W SUFFOLK AVE",
            "city": "CENTRAL ISLIP",
            "state": "NY",
            "postal_code": "117222144",
            "telephone_number": "347-681-2110"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7312 172nd St",
            "address_purpose": "LOCATION",
            "city": "Fresh Meadows",
            "state": "NY",
            "postal_code": "113661421",
            "country_code": "US",
            "telephone_number": "347-681-2110",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YEUNG",
        "first_name": "HOMAN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-03-05",
        "last_updated": "2019-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "004945",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X012058-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Central Islip, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.