Individual provider Active NPI

Yufang Ku Johnson, NP

  • Acute Care Nurse Practitioner
  • Kingston, NY
National Provider Identifier
1992257976
Registry record updated Sep 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
F431055 Issued in NY
Practice address
98 Forest Hill Dr
Kingston, NY 12401-7411
Phone
(845) 475-4062
NPI assigned
Oct 26, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X F431055 NY
Acute Care Nurse Practitioner 363LA2100X F431055 NY Primary

Addresses

Primary practice location

98 Forest Hill Dr
Kingston, NY 12401-7411

Mailing address

98 Forest Hill Dr
Kingston, NY 12401-7411

Other practice location 1

45 Reade Pl
Poughkeepsie, NY 12601-3947
Phone (845) 454-8500

Other names 1

  • Yufang Ku Former name

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170822002593 NY Practitioner - Nurse Practitioner 4880966118 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F431055NYMDAcute Care Nurse Practitioner

Practice roles (6 of 10)

OrganizationSpecialtyStatusNew patients
Central Orange Physician Services CurrentSince Aug 13, 2017 Accepting new patients
Westchester Medical Center Advanced Physician Services PC CurrentSince Jun 1, 2018 Accepting new patients
St. Peter'S Health Partners Medical Associates, P.C. Nurse Practitioner CurrentSince Oct 16, 2017 Accepting new patients
Westchester Medical Center Advanced Physician Services, PC Current Accepting new patients
Atlantic Cardiovascular Care PC CurrentSince Apr 1, 2025 Accepting new patients
Westchester Medical Center Past Accepting new patients

Locations

66 W Gilbert St
Tinton Falls, NJ 07701
Phone (732) 212-0051

10 Hastings Dr
Beacon, NY 12508
Phone (845) 440-1600

52 New Main St
Haverstraw, NY 10927
Phone (240) 502-0243

19 Bradhurst Ave
Ste 3100N
Hawthorne, NY 10532
Phone (914) 231-8373

111 Marys Ave
Ste 3
Kingston, NY 12401
Phone (845) 452-7319

42084 State Highway 28
Margaretville, NY 12455
Phone (845) 334-2819

707 E Main St
Middletown, NY 10940
Phone (845) 333-1000

504 Gramatan Ave
Mount Vernon, NY 10552
Phone (914) 664-7323

105 Stevens Ave
Ste 501
Mount Vernon, NY 10550
Phone (329) 215-1388

45 Reade Pl
Poughkeepsie, NY 12601
Phone (845) 331-3131

45 Reade Pl
Fl 2
Poughkeepsie, NY 12601
Phone (845) 483-6001

241 North Rd
Poughkeepsie, NY 12601
Phone (845) 431-8889

1301 River St
Ste 204
Valatie, NY 12184
Phone (518) 392-8600

95 Grasslands Rd
Valhalla, NY 10595
Phone (914) 493-2961

7-11 S Broadway
Ste 100
White Plains, NY 10601
Phone (914) 592-4312

Networks

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

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HCCADD
  • FHIR API: https://fhir-myrecord.cerner.com/r4/0e5efebe-b60c-458e-971a-ee39e08a2178/

Organizations & group practices 6

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 1

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

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Atlantic Cardiovascular Care PC 2 clinicians

Practice addresses (Care Compare)

105 Stevens Ave
Suite 501
Mount Vernon, NY 10550-2680
Phone (646) 581-8283

Hospital & facility affiliations

  • Healthalliance Hospital Marys Avenue Campus Hospital, Kingston, NY, CCN 330224

NPI Registry JSON

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

{
    "created_epoch": "1477440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600646400000",
    "number": "1992257976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "98 FOREST HILL DR",
            "city": "KINGSTON",
            "state": "NY",
            "postal_code": "124017411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "98 FOREST HILL DR",
            "city": "KINGSTON",
            "state": "NY",
            "postal_code": "124017411",
            "telephone_number": "845-475-4062"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "45 Reade Pl",
            "address_purpose": "LOCATION",
            "city": "Poughkeepsie",
            "state": "NY",
            "postal_code": "126013947",
            "country_code": "US",
            "telephone_number": "845-454-8500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "YUFANG",
        "middle_name": "KU",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-26",
        "last_updated": "2020-09-21",
        "certification_date": "2020-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NY",
            "license": "F431055",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "NY",
            "license": "F431055",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "YUFANG",
            "last_name": "KU",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Kingston, NY

Sources for this page

Verify at the official NPI Registry.