Individual provider Active NPI

Andrew Yu, PA-C

  • Physician Assistant
  • Brooklyn, NY
National Provider Identifier
1821647074
Registry record updated Aug 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
026032 Issued in NY
Practice address
626 Sheepshead Bay Rd
Brooklyn, NY 11224-3602
Phone
(718) 215-7340
NPI assigned
Sep 10, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 11, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 363A00000X 026032 NY Primary

Addresses

Primary practice location

626 Sheepshead Bay Rd
Brooklyn, NY 11224-3602

Mailing address

626 Sheepshead Bay Rd
Brooklyn, NY 11224-3602
Phone (718) 215-7340

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
I20211203001733 NY Practitioner - Physician Assistant 9436550175 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
90.8 of 100Reported as group
Quality
91.79
Promoting interoperability
100
Improvement activities
40
Cost
75.18

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
026032NYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
New York University Single Specialty CurrentSince Oct 1, 2023 Accepting new patients
New York University CurrentSince Oct 1, 2023 Accepting new patients
New York City Health and Hospitals Corporation Past Accepting new patients

Locations

760 Broadway
Brooklyn, NY 11206
Phone (718) 963-5807

6122 Fresh Pond Rd
Middle Vlg, NY 11379
Phone (718) 502-3000

14 Wall St
Fl 9
Wall Street, NY 10005
Phone (646) 501-3224

Networks

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

Interoperability endpoints

  • Direct secure messaging: ayu1788706@nychhc.direct-ci.com
  • Direct secure messaging: ayu607536@nyumc.direct-ci.com

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": "1568073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628640000000",
    "number": "1821647074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "626 SHEEPSHEAD BAY RD",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112243602",
            "telephone_number": "718-215-7340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "626 SHEEPSHEAD BAY RD",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112243602",
            "telephone_number": "718-215-7340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YU",
        "first_name": "ANDREW",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-09-10",
        "last_updated": "2021-08-11",
        "certification_date": "2021-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "026032",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.