Individual provider Active NPI

Yu Ye Zhou, D.D.S

  • General Practice Dentistry
  • Flushing, NY
National Provider Identifier
1891947347
Registry record updated Jan 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
055407 Issued in NY
Practice address
136-81 Roosevelt Avenue
2ND Floor
Flushing, NY 11354-5560
Phone
(718) 353-4777
NPI assigned
Oct 15, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2013

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X P63953 NY
General Practice Dentistry 1223G0001X 24368 TX
General Practice Dentistry 1223G0001X 055407 NY Primary

Addresses

Primary practice location

136-81 Roosevelt Avenue
2ND Floor
Flushing, NY 11354-5560

Mailing address

136-81 Roosevelt Avenue
2ND Floor
Flushing, NY 11354-5560
Phone (718) 353-4777

Other identifiers 1

IdentifierTypeStateIssuer
03377699MedicaidNY

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150706000641 NY Order and Referring Only - DentistPractitioner - Dentist 1355653346

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
055407NYMDGeneral Practice Dentistry
P63953NYMDGeneral Practice Dentistry
24368TXMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1224028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358208000000",
    "number": "1891947347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "136-81 ROOSEVELT AVENUE",
            "address_2": "2ND FLOOR",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113545560",
            "telephone_number": "718-353-4777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "136-81 ROOSEVELT AVENUE",
            "address_2": "2ND FLOOR",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113545560",
            "telephone_number": "718-353-4777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZHOU",
        "first_name": "YU",
        "middle_name": "YE",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-15",
        "last_updated": "2013-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "P63953",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "24368",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "055407",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03377699",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, NY

Sources for this page

Verify at the official NPI Registry.