Individual provider Active NPI

Hanyi Leo Yu, DMD

  • Dentist
  • Lawrenceville, NJ
National Provider Identifier
1912647389
Registry record updated Nov 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN1859504 Issued in MA
Practice address
3100 Princeton Pike Ste E
Lawrenceville, NJ 08648-2300
Phone
(609) 895-8844
NPI assigned
Mar 31, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN1859504 MA Primary

Addresses

Primary practice location

3100 Princeton Pike Ste E
Lawrenceville, NJ 08648-2300

Mailing address

3100 Princeton Pike Ste E
Lawrenceville, NJ 08648-2300
Phone (609) 895-8844

Other practice location 1

180 E Delaware Ave # 1604
Florence, NJ 08518-1604
Phone (609) 499-4915

Other names 1

  • Dr. Leo Yu Other name

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

State licenses

LicenseStateTypeSpecialty
DN1859504MAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Central Square Dental PC PastSince Feb 1, 2023 Accepting new patients
Dental Dreams, LLC Dentist PastSince Jul 1, 2022 Accepting new patients
Prime Dental Care LLC Dentist PastSince Mar 24, 2024 Accepting new patients

Organizations & group practices 3

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": "1648684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699833600000",
    "number": "1912647389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 PRINCETON PIKE STE E",
            "city": "LAWRENCEVILLE",
            "state": "NJ",
            "postal_code": "086482300",
            "telephone_number": "609-895-8844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 PRINCETON PIKE STE E",
            "city": "LAWRENCEVILLE",
            "state": "NJ",
            "postal_code": "086482300",
            "telephone_number": "609-895-8844"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "180 E Delaware Ave # 1604",
            "address_purpose": "LOCATION",
            "city": "Florence",
            "state": "NJ",
            "postal_code": "085181604",
            "country_code": "US",
            "telephone_number": "609-499-4915",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YU",
        "first_name": "HANYI",
        "middle_name": "LEO",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-03-31",
        "last_updated": "2023-11-13",
        "certification_date": "2023-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MA",
            "license": "DN1859504",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LEO",
            "last_name": "YU",
            "prefix": "DR.",
            "credential": "DMD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Lawrenceville, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2023; 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.