Organization Active NPI

Weijia Yuan Rheumatology PLLC

  • Rheumatology Physician
  • New York, NY
National Provider Identifier
1821774050
Registry record updated Jun 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
Legal business name
WEIJIA YUAN RHEUMATOLOGY PLLC
Practice address
1020 Park Ave
New York, NY 10028-0913
Phone
(212) 870-8718
Fax
(212) 870-8719
NPI assigned
Jun 22, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2023

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

Authorized official

Name
Weijia Yuan, MDNPI 1578740981
Title
Owner
Phone
(212) 870-8718

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RR0500X Primary

Addresses

Primary practice location

1020 Park Ave
New York, NY 10028-0913

Mailing address

1020 Park Ave
New York, NY 10028-0913
Phone (212) 870-8718

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230911001108 NY Part B Supplier - Clinic/Group Practice 0042674095 Receives reassigned benefits from 1 practitioner
Practice locations: New York, NY

National Provider Directory

National Provider Directory

Locations

1175 York Ave
Apt PHA6
New York, NY 10065

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1687392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687392000000",
    "number": "1821774050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 PARK AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100280913",
            "telephone_number": "212-870-8718",
            "fax_number": "212-870-8719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 PARK AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100280913",
            "telephone_number": "212-870-8718",
            "fax_number": "212-870-8719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEIJIA YUAN RHEUMATOLOGY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-22",
        "last_updated": "2023-06-22",
        "certification_date": "2023-06-22",
        "status": "A",
        "authorized_official_last_name": "YUAN",
        "authorized_official_first_name": "WEIJIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "212-870-8718",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Rheumatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.