Individual provider Active NPI

Lusia S Yi, DO, MS, FAOCD

  • Dermatology Physician
  • Newtown, PA
National Provider Identifier
1740424035
Registry record updated Mar 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
25MB09666500 Issued in NJ
Practice address
11 Friends LN Ste 115
Newtown, PA 18940-1885
Phone
(609) 799-1600
Fax
(267) 358-5166
NPI assigned
Apr 30, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X OS014982 PA
Dermatology Physician 207N00000X 25MB09666500 NJ Primary

Addresses

Primary practice location

11 Friends LN Ste 115
Newtown, PA 18940-1885

Mailing address

11 Friends LN Ste 115
Newtown, PA 18940-1885
Phone (609) 799-1600

Other practice location 1

3311 Brunswick Pike
Lawrenceville, NJ 08648-2411
Phone (609) 799-1600

Other practice location 2

29 Emmons Dr Ste F20
Princeton, NJ 08540-5978
Phone (609) 799-1600

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address lyi@alliancedermatology.medentdirect.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NJ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20130214000197 PA Practitioner - Dermatology 2163676420 Reassigns benefits to 1 organization
I20150918000900 NJ Practitioner - Dermatology 2163676420 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Philadelphia College of Osteopathic Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alliance Dermatology Physicians PCGroup PAC ID 9133553449, 5 clinicians

Practice addresses (Care Compare)

11 Friends LN
Suite 115
Newtown, PA 18940-1885
Phone (609) 799-1600

29 Emmons Dr
Suite F20
Princeton, NJ 08540-5978
Phone (609) 799-1600

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions448
Removal or shaving of skin growth1-10
Skin biopsy213

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Alliance Dermatology Physicians, P.C. Dermatology CurrentSince Nov 1, 2019 Accepting new patients
Alliance Dermatology Physicians, P.C. Dermatology CurrentSince May 29, 2019 Accepting new patients

Locations

3311 US Highway 1
Lawrenceville, NJ 08648
Phone (609) 716-7030

29 Emmons Dr
Ste F20
Princeton, NJ 08540
Phone (609) 799-1600

11 Friends Ln
Ste 115
Newtown, PA 18940
Phone (609) 799-1600

10000 Anns Choice Way
Warminster, PA 18974
Phone (215) 443-3801

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1241049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615852800000",
    "number": "1740424035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 FRIENDS LN STE 115",
            "city": "NEWTOWN",
            "state": "PA",
            "postal_code": "189401885",
            "telephone_number": "609-799-1600",
            "fax_number": "267-358-5166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 FRIENDS LN STE 115",
            "city": "NEWTOWN",
            "state": "PA",
            "postal_code": "189401885",
            "telephone_number": "609-799-1600",
            "fax_number": "267-358-5166"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3311 Brunswick Pike",
            "address_purpose": "LOCATION",
            "city": "Lawrenceville",
            "state": "NJ",
            "postal_code": "086482411",
            "country_code": "US",
            "telephone_number": "609-799-1600",
            "fax_number": "609-799-1677",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "29 Emmons Dr Ste F20",
            "address_purpose": "LOCATION",
            "city": "Princeton",
            "state": "NJ",
            "postal_code": "085405978",
            "country_code": "US",
            "telephone_number": "609-799-1600",
            "fax_number": "267-358-5166",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YI",
        "first_name": "LUSIA",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "DO, MS, FAOCD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-04-30",
        "last_updated": "2021-03-16",
        "certification_date": "2021-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "PA",
            "license": "OS014982",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NJ",
            "license": "25MB09666500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lyi@alliancedermatology.medentdirect.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "11 Friends Ln Ste 115",
            "city": "Newtown",
            "state": "PA",
            "country_code": "US",
            "postal_code": "189401885",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Newtown, PA

Sources for this page

Verify at the official NPI Registry.