Jose Balleza Yulo, M.D.

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

License

137875 Issued in NY

Practice address

24 Autumn LN
Hicksville, NY 11801-6321

Phone

(386) 445-8791

NPI assigned

Sep 12, 2011

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1315785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1315785600000",
    "number": "1821370248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 COLLINGTON CT",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321378922",
            "telephone_number": "386-445-8791",
            "fax_number": "386-445-8791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 AUTUMN LN",
            "city": "HICKSVILLE",
            "state": "NY",
            "postal_code": "118016321",
            "telephone_number": "386-445-8791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YULO",
        "first_name": "JOSE",
        "middle_name": "BALLEZA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-09-12",
        "last_updated": "2011-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "NY",
            "license": "137875",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chung Kaing Yeung, MD
• Kingsley Yew, DPT, ATC
• Hazel Joy Acala Ygsi
• Hyun a Yoo
• Shazia Yousuf
• Mereena Zachariah, MSW
• Thomas Zachmann, RD
• Bruce Mitchel Zagelbaum, M.D.
• Laura Anne Zammit
• Marina Zelener, D.O.

• Anatomic Pathology & Clinical Pathology Physician in Hicksville, NY
• Providers in Hicksville, NY by specialty
• Anatomic Pathology & Clinical Pathology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.