Individual provider Active NPI

Benjamin Louis Yudkoff, MD

  • Psychiatry Physician
  • Newton, MA
National Provider Identifier
1962727966
Registry record updated Aug 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
253829 Issued in MA
Practice address
53 Langley Rd Ste 250
Newton, MA 02459-1945
Phone
(617) 863-8810
Fax
(617) 863-8844
NPI assigned
Apr 1, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 10, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 253829 MA Primary

Addresses

Primary practice location

53 Langley Rd Ste 250
Newton, MA 02459-1945

Mailing address

53 Langley Rd Ste 250
Newton, MA 02459-1945
Phone (617) 863-8810

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141121000686 MA Practitioner - Psychiatry 4284856550 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Brigham and Womens Physicians Organization IncGroup PAC ID 3870405988, 2,931 clinicians
Lumin Health PGGroup PAC ID 3678950649, 13 clinicians

Practice addresses (Care Compare)

1153 Centre St
Jamaica Plain, MA 02130-3446
Phone (617) 983-7000

53 Langley Rd
Suite 250
Newton, MA 02459-1945
Phone (617) 863-8810

Hospital & facility affiliations

  • Brigham and Women Faulkner Hospital Hospital, Jamaica Plain, MA, CCN 220119

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
253829MAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Brigham and Women'S Faulkner Hospital, Inc Current Accepting new patients
Lumin Health PG Psychiatry CurrentSince Feb 11, 2022 Accepting new patients
Lumin Health PG Maryland, P.C. Psychiatry Current Accepting new patients

Locations

75 Francis St
Boston, MA 02115

1153 Centre St
Jamaica Plain, MA 02130
Phone (617) 983-7000

53 Langley Rd
Ste 250
Newton Center, MA 02459
Phone (617) 863-8810

10 Langley Rd
Ste 200
Newton Centre, MA 02459
Phone (617) 863-8810

Interoperability endpoints

  • Direct secure messaging: yudkoff.benjamin.fh@direct.partners.masshiway.net

Organizations & group practices 4

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1270080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660089600000",
    "number": "1962727966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "53 LANGLEY RD STE 250",
            "city": "NEWTON",
            "state": "MA",
            "postal_code": "024591945",
            "telephone_number": "617-863-8810",
            "fax_number": "617-863-8844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "53 LANGLEY RD STE 250",
            "city": "NEWTON",
            "state": "MA",
            "postal_code": "024591945",
            "telephone_number": "617-863-8810",
            "fax_number": "617-863-8844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YUDKOFF",
        "first_name": "BENJAMIN",
        "middle_name": "LOUIS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-04-01",
        "last_updated": "2022-08-10",
        "certification_date": "2022-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MA",
            "license": "253829",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newton, MA

Sources for this page

Verify at the official NPI Registry.