Organization Active NPI

Raymond L Yung MD PC

  • Plastic Surgery within the Head & Neck (Otolaryngology) Physician
  • New York, NY
National Provider Identifier
1740345669
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery within the Head & Neck (Otolaryngology) PhysicianTaxonomy code 207YX0007X
License
1855781 Issued in NY
Legal business name
RAYMOND L YUNG MD PC
Practice address
217 Grand Street
6TH Floor
New York, NY 10013-4223
Phone
(212) 625-8069
Fax
(212) 431-8246
NPI assigned
Dec 22, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Authorized official

Name
Dr. Raymond L Yung, MDNPI 1487659975
Title
President
Phone
(212) 625-8069

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery within the Head & Neck (Otolaryngology) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207YX0007X 1855781 NY Primary

Addresses

Primary practice location

217 Grand Street
6TH Floor
New York, NY 10013-4223

Mailing address

217 Grand Street
6TH Floor
New York, NY 10013-4223
Phone (212) 625-8069

Other practice location 1

863 50th St 2nd Floor
Suite M4
Brooklyn, NY 11220-6877
Phone (718) 853-2346

Other practice location 2

3808 Union St Ste 7E
Flushing, NY 11354-5500
Phone (718) 353-9346

Other identifiers 16

IdentifierTypeStateIssuer
4655590OtherNYAETNA
185578A31OtherNY1199
228239OtherNYWELLCARE
9422652011OtherNYCIGNA
01888215MedicaidNY
0600362OtherNYGHI
177890101OtherNYHEALTHPLUS
YR5578OtherNMATLANTIS
03325835MedicaidNY
08Z031OtherNYEMPIRE BCBS
185578-C20OtherNYHEALTH FIRST
2200742OtherNYAETNA
2C7453OtherNYHEALTH NET
1000036961OtherNYAFFINITY
1001268197(01)OtherNYAMERICHOICE
CS1040OtherNYOXFORD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070330000115 NY Part B Supplier - Clinic/Group Practice 5991809931 Receives reassigned benefits from 2 practitioners
Practice locations: New York, NY; Flushing, NY; Brooklyn, NY

National Provider Directory

National Provider Directory

Locations

3808 Union St
Ste 7E
Flushing, NY 11354
Phone (718) 353-6150

4160 Main St
Ste 310A
Flushing, NY 11355
Phone (718) 353-9346

217 Grand St
Ste 6
New York, NY 10013
Phone (212) 625-8069

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1166745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1740345669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "217 GRAND STREET",
            "address_2": "6TH FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100134223",
            "telephone_number": "212-625-8069",
            "fax_number": "212-431-8246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 GRAND STREET",
            "address_2": "6TH FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100134223",
            "telephone_number": "212-625-8069",
            "fax_number": "212-431-8246"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "863 50th St 2nd Floor",
            "address_2": "Suite M4",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112206877",
            "country_code": "US",
            "telephone_number": "718-853-2346",
            "fax_number": "212-431-8246",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3808 Union St Ste 7E",
            "address_purpose": "LOCATION",
            "city": "Flushing",
            "state": "NY",
            "postal_code": "113545500",
            "country_code": "US",
            "telephone_number": "718-353-9346",
            "fax_number": "212-431-8246",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "RAYMOND L YUNG MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-22",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "YUNG",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "212-625-8069",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207YX0007X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology, Plastic Surgery within the Head & Neck",
            "state": "NY",
            "license": "1855781",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4655590",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "1199",
            "identifier": "185578A31",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE",
            "identifier": "228239",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "9422652011",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01888215",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "0600362",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHPLUS",
            "identifier": "177890101",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ATLANTIS",
            "identifier": "YR5578",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03325835",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE BCBS",
            "identifier": "08Z031",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH FIRST",
            "identifier": "185578-C20",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "2200742",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH NET",
            "identifier": "2C7453",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AFFINITY",
            "identifier": "1000036961",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICHOICE",
            "identifier": "1001268197(01)",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "CS1040",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.