Individual provider Active NPI

Jeffrey Jin-Yon Yu, MD

  • Retina Specialist (Ophthalmology) Physician
  • New York, NY
National Provider Identifier
1790346609
Registry record updated Aug 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Retina Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0107X
License
336302 Issued in NY
Practice address
170-17 Northern Blvd
New York, NY 11358
Phone
(718) 539-6000
NPI assigned
Jun 23, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Retina Specialist (Ophthalmology) Physician 207WX0107X 336302 NY Primary

Addresses

Primary practice location

170-17 Northern Blvd
New York, NY 11358

Mailing address

170-17 Northern Blvd
New York, NY 11358
Phone (718) 539-6000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, NY2 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
I20230816001761 MI Practitioner - Ophthalmology 1850628553 Reassigns benefits to 1 organization
I20250717002630 NY Practitioner - Ophthalmology 1850628553 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Peter Condax MD PCGroup PAC ID 5991890840, 3 clinicians

Practice addresses (Care Compare)

170 -17 Northern Blvd
Flushing, NY 11358-2709

17017 Northern Blvd
Flushing, NY 11358-2709
Phone (718) 539-6000

2747 Crescent St
Astoria, NY 11102-3142
Phone (718) 204-5250

30 W 60TH St
Apt 1Y
New York, NY 10023-7906
Phone (212) 819-9339

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Peter Condax, M.D. PC Ophthalmology CurrentSince Aug 1, 2025 Accepting new patients
Regents of the University of Michigan CurrentSince Jun 30, 2023 Accepting new patients
Regents of the University of Michigan Ophthalmology CurrentSince Jun 30, 2023 Accepting new patients
Retina Specialists of New York, PLLC Ophthalmology CurrentSince Oct 1, 2025 Accepting new patients

Locations

3621 S State St
Ann Arbor, MI 48108
Phone (734) 647-5229

1000 Wall St
Ann Arbor, MI 48105
Phone (734) 763-1415

1500 E Medical Center Dr
Ann Arbor, MI 48109
Phone (734) 936-4280

2747 Crescent St
Ste 202
Astoria, NY 11102
Phone (718) 204-5250

17017 Northern Blvd
Flushing, NY 11358
Phone (718) 358-4600

2747 Crescent St
Long Island City, NY 11102
Phone (718) 204-5250

30 W 60th St
Apt 1Y
New York, NY 10023
Phone (212) 262-5177

Interoperability endpoints

  • Direct secure messaging: jyu@condax.intellechartdirect.net

Organizations & group practices 4

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": "1561248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755043200000",
    "number": "1790346609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "170-17 NORTHERN BLVD",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "11358",
            "telephone_number": "718-539-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170-17 NORTHERN BLVD",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "11358",
            "telephone_number": "718-539-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YU",
        "first_name": "JEFFREY",
        "middle_name": "JIN-YON",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-23",
        "last_updated": "2025-08-13",
        "certification_date": "2025-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "NY",
            "license": "336302",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.