Individual provider Active NPI

Poline Yiu, RPA-C

  • Medical Physician Assistant
  • New York, NY
National Provider Identifier
1780758045
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
23-011313 Issued in NY
Practice address
139 Centre St
Suite 609
New York, NY 10013-4408
Phone
(212) 431-4309
Fax
(212) 343-8104
NPI assigned
Nov 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 23-011313 NY Primary

Addresses

Primary practice location

139 Centre St
Suite 609
New York, NY 10013-4408

Mailing address

139 Centre St
Suite 609
New York, NY 10013-4408
Phone (212) 431-4309

Other identifiers 1

IdentifierTypeStateIssuer
23011313OtherNYNEW YORK STATE LICENSE

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091014000481 NY Practitioner - Physician Assistant 5698811180 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Maimonides Medical Center MMC Gastroenterology FPPGroup PAC ID 4981595055, 14 clinicians

Practice addresses (Care Compare)

4802 10TH Ave
Brooklyn, NY 11219-2916
Phone (718) 283-7732

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
011313NYMDMental Health Counselor
23-011313NYMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Fulton Gi Medical PLLC Past Accepting new patients
Maimonides Medical Center Division of Otolaryngology FPP Past Accepting new patients
NG Medical Brooklyn PLLC PastSince Jun 20, 2019 Accepting new patients
Centre Street Office-Based Surgery, PLLC PastSince Oct 17, 2010 Accepting new patients

Networks

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

Organizations & group practices 7

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": "1163980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1780758045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "139 CENTRE ST",
            "address_2": "SUITE 609",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100134408",
            "telephone_number": "212-431-4309",
            "fax_number": "212-343-8104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "139 CENTRE ST",
            "address_2": "SUITE 609",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100134408",
            "telephone_number": "212-431-4309",
            "fax_number": "212-343-8104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YIU",
        "first_name": "POLINE",
        "name_prefix": "Miss",
        "credential": "RPA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-20",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NY",
            "license": "23-011313",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEW YORK STATE LICENSE",
            "identifier": "23011313",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.