Individual provider Active NPI

John J Yu, M.D.

  • Orthopaedic Surgery Physician
  • Port Jefferson, NY
National Provider Identifier
1821258880
Registry record updated Jul 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
260512 Issued in NY
Practice address
635 Belle Terre Rd
Suite 204
Port Jefferson, NY 11777-1935
Phone
(631) 474-0008
NPI assigned
Jun 12, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 28, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 260512 NY Primary

Addresses

Primary practice location

635 Belle Terre Rd
Suite 204
Port Jefferson, NY 11777-1935

Mailing address

635 Belle Terre Rd
Ste 204
Port Jefferson, NY 11777-1977
Phone (917) 880-6631

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
I20120712000640 NY Practitioner - Orthopedic Surgery 9133384340 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
State University of New York at Stony Brook, School of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
True North Medical Group PCGroup PAC ID 7012194806, 185 clinicians

Practice addresses (Care Compare)

900 Franklin Ave
Valley Stream, NY 11580-2145
Phone (516) 536-2800

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.07 of 100Reported as apm
Quality
79.77
Promoting interoperability
88.77
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement1-10
Knee replacement19
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
True North Medical Group PC Orthopaedic Surgery CurrentSince Jun 3, 2019 Accepting new patients
True North Medical Group PC Orthopaedic Surgery CurrentSince Jun 3, 2019 Accepting new patients
True North Medical Group PC Orthopaedic Surgery Past Accepting new patients
True North Medical Group PC Past Accepting new patients

Locations

635 Belle Terre Rd
Ste 204
Prt Jefferson, NY 11777
Phone (631) 474-0008

788 Harrison Ave
Riverhead, NY 11901
Phone (631) 591-3801

36 Lincoln Ave
Fl 3
Rockville Ctr, NY 11570

222 E Middle Country Rd
Ste 108
Smithtown, NY 11787
Phone (631) 706-2800

900 Franklin Ave
Valley Stream, NY 11580
Phone (516) 256-6000

Interoperability endpoints

  • Direct secure messaging: johnyu@nslijmedgr.allscriptsdirect.net

Ownership & related parties

All facility ownership & control disclosures 3

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
John T Mather Memorial HospitalPort Jefferson, NY, CCN 330185 Hospital Corporate Director Jan 1, 2019
John T Mather Memorial HospitalPort Jefferson, NY, CCN 33S185 Hospital Corporate Director Jan 1, 2019
John T Mather Memorial HospitalPort Jefferson, NY, CCN 335853 Skilled nursing facility Corporate Director Apr 1, 2019

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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.

Hospital & facility affiliations 3

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": "1213228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1501200000000",
    "number": "1821258880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "635 BELLE TERRE RD",
            "address_2": "STE 204",
            "city": "PORT JEFFERSON",
            "state": "NY",
            "postal_code": "117771977",
            "telephone_number": "917-880-6631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "635 BELLE TERRE RD",
            "address_2": "SUITE 204",
            "city": "PORT JEFFERSON",
            "state": "NY",
            "postal_code": "117771935",
            "telephone_number": "631-474-0008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YU",
        "first_name": "JOHN",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-06-12",
        "last_updated": "2017-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NY",
            "license": "260512",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Jefferson, NY

Sources for this page

Verify at the official NPI Registry.