Individual provider Active NPI

Yee Mar Tun

  • Family Nurse Practitioner
  • Elmhurst, NY
National Provider Identifier
1962067116
Registry record updated Aug 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F354726 Issued in NY
Practice address
8409 Queens Blvd
Elmhurst, NY 11373-4246
Phone
(347) 316-8838
Fax
(351) 207-4039
NPI assigned
May 2, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 9, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F354726 NY Primary
Registered Nurse 163W00000X 758038 NY

Addresses

Primary practice location

8409 Queens Blvd
Elmhurst, NY 11373-4246

Mailing address

8409 Queens Blvd
Elmhurst, NY 11373-4246
Phone (347) 316-8838

Other practice location 1

13626 37th Ave
Flushing, NY 11354
Phone (718) 886-1212

Other practice location 2

13626 37th Ave
Flushing, NY 11354
Phone (718) 886-1212

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
758038NYMDRegistered Nurse

Networks

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

NPI Registry JSON

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

{
    "created_epoch": "1556755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723161600000",
    "number": "1962067116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8409 QUEENS BLVD",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "113734246",
            "telephone_number": "347-316-8838",
            "fax_number": "351-207-4039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8409 QUEENS BLVD",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "113734246",
            "telephone_number": "347-316-8838",
            "fax_number": "351-207-4039"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13626 37th Ave",
            "address_purpose": "LOCATION",
            "city": "Flushing",
            "state": "NY",
            "postal_code": "11354",
            "country_code": "US",
            "telephone_number": "718-886-1212",
            "fax_number": "718-886-2568",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13626 37th Ave",
            "address_purpose": "LOCATION",
            "city": "Flushing",
            "state": "NY",
            "postal_code": "11354",
            "country_code": "US",
            "telephone_number": "718-886-1212",
            "fax_number": "718-886-2568",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TUN",
        "first_name": "YEE",
        "middle_name": "MAR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-05-02",
        "last_updated": "2024-08-09",
        "certification_date": "2024-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F354726",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "758038",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elmhurst, NY

Sources for this page

Verify at the official NPI Registry.