Active NPI
Yufang Ku Johnson, NP
- Acute Care Nurse Practitioner
- Kingston, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- F431055
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| F431055 | NY | MD | Acute Care Nurse Practitioner |
Practice roles (6 of 10)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Orange Physician Services | Current | Accepting new patients | |
| Westchester Medical Center Advanced Physician Services PC | Current | Accepting new patients | |
| St. Peter'S Health Partners Medical Associates, P.C. | Nurse Practitioner | Current | Accepting new patients |
| Westchester Medical Center Advanced Physician Services, PC | Current | Accepting new patients | |
| Atlantic Cardiovascular Care PC | Current | 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
- https://fhir4.healow.com/fhir/r4/HCCADD
- 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.
-
- Multi-Specialty Clinic/Center
- Albany, NY
- NPI 1750626834
Nurse Practitioner, NY
-
- Surgery Physician
- Valhalla, NY
- NPI 1912131392
NY
-
- Anesthesiology Physician
- Valhalla, NY
- NPI 1740687458
-
- General Acute Care Hospital
- Valhalla, NY
- NPI 1023286184
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Kingston, NY
- NPI 1932182599
Hospital
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
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
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.