Individual provider Active NPI

Man Yu, M.D.

  • Pediatrics Physician
  • New York, NY
National Provider Identifier
1720412786
Registry record updated Aug 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
272020 Issued in NY
Practice address
217 Grand St
5TH Floor
New York, NY 10013-4396
Phone
(212) 966-5530
NPI assigned
Aug 27, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 272020 NY Primary
Pediatrics Physician 208000000X MD449847 PA

Addresses

Primary practice location

217 Grand St
5TH Floor
New York, NY 10013-4396

Mailing address

106 W 76TH St
Apt 2B
New York, NY 10023-8453
Phone (917) 756-8600

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
I20180627000184 NY Practitioner - Pediatric Medicine 5991050387 Reassigns benefits to 5 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD449847PAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Flushing Hospital Medical Center CurrentSince Apr 22, 2020 Accepting new patients
Mount Sinai School of Medicine Current Accepting new patients
TJH Medical Services, P.C. Pediatrics CurrentSince May 5, 2018 Accepting new patients
Mount Sinai School of Medicine CurrentSince Apr 28, 2024 Accepting new patients
Montefiore New Rochelle Hospital CurrentSince Oct 25, 2022 Accepting new patients
Flushing Hospital & Medical Center CurrentSince Apr 22, 2020 Accepting new patients
North Shore - Lij Medical PC CurrentSince Oct 16, 2023 Accepting new patients
North Shore-Lij Medical PC CurrentSince Oct 16, 2023 Accepting new patients
Mount Sinai School of Medicine CurrentSince Apr 28, 2024 Accepting new patients
Flushing Hospital & Medical Center Past Accepting new patients
South Nassau Communities Hospital Past Accepting new patients
Northern Westchester Hospital Association Past Accepting new patients

Locations

4500 Parsons Blvd
Flushing, NY 11355
Phone (718) 670-5631

14601 45th Ave
Flushing, NY 11355
Phone (718) 670-5562

10201 66th Rd
Forest Hills, NY 11375
Phone (718) 830-4091

11940 Metropolitan Ave
Kew Gardens, NY 11415
Phone (718) 849-0839

26901 76th Ave
New Hyde Park, NY 11040
Phone (718) 470-3000

1111 Marcus Ave
Ste M04
New Hyde Park, NY 11042
Phone (585) 736-3650

16 Guion Pl
New Rochelle, NY 10801
Phone (914) 365-3680

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

300 Community Dr
Plandome, NY 11030

Networks

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

Interoperability endpoints

  • Direct secure messaging: myu6667@direct.medisys.org
  • Direct secure messaging: myu364742@northwell.direct-ci.com

Organizations & group practices 12

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": "1377561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377561600000",
    "number": "1720412786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 W 76TH ST",
            "address_2": "APT 2B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100238453",
            "telephone_number": "917-756-8600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 GRAND ST",
            "address_2": "5TH FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100134396",
            "telephone_number": "212-966-5530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YU",
        "first_name": "MAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-27",
        "last_updated": "2013-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "272020",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PA",
            "license": "MD449847",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.