Active NPI
Yun Zhong, MPA
- Case Manager/Care Coordinator
- Jericho, NY
National Provider Identifier
1912616210
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Practice address
- 22 Briar LN
Jericho, NY 11753-2212 - Phone
- (973) 246-2686
- NPI assigned
- Nov 16, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Primary |
Addresses
Primary practice location
22 Briar LN
Jericho, NY 11753-2212
Mailing address
21510 Northern Blvd Ste 202
Bayside, NY 11361-3497
Phone (718) 631-1034
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lifebridge Comprehensive Services, Inc | Current | Accepting new patients |
Locations
21510 Northern Blvd
Ste 202
Bayside, NY 11361
Phone (718) 361-1034
Organizations & group practices 1
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.
-
- Early Intervention Provider Agency
- Bayside, NY
- NPI 1922495316
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1668556800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1668643200000",
"number": "1912616210",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21510 NORTHERN BLVD STE 202",
"city": "BAYSIDE",
"state": "NY",
"postal_code": "113613497",
"telephone_number": "718-631-1034",
"fax_number": "718-631-1035"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22 BRIAR LN",
"city": "JERICHO",
"state": "NY",
"postal_code": "117532212",
"telephone_number": "973-246-2686"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZHONG",
"first_name": "YUN",
"credential": "MPA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-11-16",
"last_updated": "2022-11-17",
"certification_date": "2022-11-17",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jericho, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.