Individual provider Active NPI

Bruce H Yaffe, MD

  • General Practice Physician
  • New York, NY
National Provider Identifier
1801962881
Registry record updated Apr 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
1336291 Issued in NY
Practice address
985 5TH Ave Ste 200
New York, NY 10075-0142
Phone
(917) 655-1396
Fax
(212) 249-0426
NPI assigned
Nov 28, 2006
Last updated
Apr 29, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 29, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 1336291 NY
General Practice Physician 208D00000X 1336291 NY Primary

Addresses

Primary practice location

985 5TH Ave Ste 200
New York, NY 10075-0142

Mailing address

Yaffe Ruden & Associates LLP
985 5TH Ave, Ste 200
New York, NY 10075-0142
Phone (917) 655-1396

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
I20110630000116 NY Practitioner - Internal MedicinePractitioner - Gastroenterology 5597826677 Reassigns benefits to 1 organization
Practice locations: New York, NY

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Gastroenterology
Education
George Washington University School of Medicine, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

985 5TH Ave
Suite 200
New York, NY 10075-0142
Phone (917) 655-1396

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1336291NYMDSchool Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Bruce H. Yaffe Medical Services, PLLC Gastroenterology Current Accepting new patients
Bruce H Yaffe Services, LLC Gastroenterology CurrentSince Apr 11, 2021 Accepting new patients
Medical Office of Manhattan PLLC CurrentSince Apr 1, 2018 Accepting new patients
Ronald a. Ruden Services, LLC PastSince Apr 1, 2021 Accepting new patients

Locations

201 E 65th St
New York, NY 10065
Phone (212) 879-4700

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714348800000",
    "number": "1801962881",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "YAFFE RUDEN & ASSOCIATES LLP",
            "address_2": "985 5TH AVE, STE 200",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100750142",
            "telephone_number": "917-655-1396",
            "fax_number": "212-249-0426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "985 5TH AVE STE 200",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100750142",
            "telephone_number": "917-655-1396",
            "fax_number": "212-249-0426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YAFFE",
        "first_name": "BRUCE",
        "middle_name": "H",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-28",
        "last_updated": "2024-04-29",
        "certification_date": "2021-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NY",
            "license": "1336291",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NY",
            "license": "1336291",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.