HSU-CHONG YEH MD, NPI 1093790420 — NEW YORK (NY)

NPI 1093790420

14+ Years Experience Individual

HSU-CHONG YEH MD

12.08.2005
PROVIDER ENUMERATION DATE
11/16/2011
LAST UPDATE DATE
1093790420
NPI NUMBER

About HSU-CHONG YEH

Sole proprietor? Yes, Entity Type 1 Provider (Individual) is a Sole Proprietor.

HSU-CHONG YEH is a provider established in NEW YORK, NY. The NPI number of HSU-CHONG YEH is 1093790420 and was assigned on 12.08.2005. The practitioners primary taxonomy code is: 2085B0100X with license number: 117060 NY .

Mailing address

  • City: NEW YORK
  • State: NY
  • Postal code: 100296503
  • Phone: 2122418426
  • Fax: 2124101973
  • Address: 1176 5TH AVE

Primary Practice Address

  • Region : NEW YORK, NY
  • NPI : 1093790420
  • Phone : 2122418395
  • Postalcode : 100296503
  • Address : 1176 5TH AVE

Additional identifiers

  • Identifier: 490148
  • Code / Type : 5 - MEDICAID
  • Identifier state : NY

Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Provider taxonomy - Radiology

  • Taxonomy code: 2085B0100X
  • License number: 117060
  • License state: NY

The taxonomy is the primary taxonomy (there can be only one per NPI record).

Taxonomy description: A Radiology doctor of Osteopathy that specializes in Body Imaging.

Contacts:

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  • HSU-CHONG YEH MD
  • Address : 1176 5TH AVE
  • Region : NEW YORK, NY
  • NPI : 1093790420
  • Phone : 2122418395
  • Postalcode : 100296503

Reference NPI Information. Full replica of the CMS (NPPES) NPI record

Field Name Value
Provider First Line Business Practice Location Address1176 5TH AVE
The first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Business Practice Location Address City NameNEW YORK
The city name in the location address of the provider being identified.
Provider Business Practice Location Address State NameNY
The State or Province name in the location address of the provider being identified.
Provider Business Practice Location Address Postal Code100296503
The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
Provider Business Practice Location Address Telephone Number2122418395
The telephone number associated with the location address of the provider being identified.
NPI1093790420
10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider.
Healthcare Provider Taxonomy 12085B0100X
A Radiology doctor of Osteopathy that specializes in Body Imaging.
Provider Enumeration Date12.08.2005
The date the provider was assigned a unique identifier (assigned an NPI).
Last Updated11/16/2011
The date that a record was last updated or changed.
Entity TypeIndividual
Code describing the type of health care provider that is being assigned an NPI. Codes are:
  • 1 = (Person): individual human being who furnishes health care;
  • 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
Provider Organization Name (Legal Business Name)HSU-CHONG YEH
Provide organization name (legal business name used to file tax returns with the IRS). The Organization Name field allows the following special characters: ampersand, apostrophe, "at" sign, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. A field cannot contain all special characters.
Provider First Line Business Mailing Address1176 5TH AVE
The first line mailing address of the provider being identified. This data element may contain the same information as "Provider first line location address".
Provider Business Mailing Address City NameNEW YORK
The City name in the mailing address of the provider being identified. This data element may contain the same information as "Provider location address City name".
Provider Business Mailing Address State NameNY
The State or Province name in the mailing address of the provider being identified. This data element may contain the same information as "Provider location address State name".
Provider Business Mailing Address Postal Code100296503
The postal ZIP or zone code in the mailing address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available. This data element may contain the same information as "Provider location address postal code".
Provider Business Mailing Address Telephone Number2122418426
The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as "Provider location address telephone number".
Provider Business Mailing Address Fax Number2124101973
The fax number associated with the mailing address of the provider being identified. This data element may contain the same information as "Provider location address fax number".
Healthcare Provider Taxonomy Code #12085B0100X
The Health Care Provider Taxonomy code is a unique alphanumeric code, ten characters in length. The code set is structured into three distinct "Levels" including Provider Type, Classification, and Area of Specialization.
Healthcare Provider Taxonomy 1Radiology
A Radiology doctor of Osteopathy that specializes in Body Imaging.
Provider License Number 1117060
Certain taxonomy selections will require you to enter your license number and the state where the license was issued. Select Foreign Country in the state drop down box if the license was issued outside of United States. The License Number field allows the following special characters: ampersand, apostrophe, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. A field cannot contain all special characters. DO NOT report the Social Security Number (SSN), IRS Individual Taxpayer Identification Number (ITIN) in this section.
Provider License Number State Code 1NY
Healthcare Provider Primary Taxonomy Switch 1Y
Primary Taxonomy:
  • X - The primary taxonomy switch is Not Answered;
  • Y - The taxonomy is the primary taxonomy (there can be only one per NPI record);
  • N - The taxonomy is not the primary taxonomy.
Other Provider Identifier 1490148
Other Provider Identifier #1
Other Provider Identifier Type 15
  • 1 - Other
  • 5 - MEDICAID
Other Provider Identifier State 1NY
Other Provider Identifier State #1
Provider Gender CodeM
  • M - male
  • F - female
Is sole proprietorY
  • X - Not Answered
  • Y - Yes, Entity Type 1 Provider (Individual) is a Sole Proprietor
  • N - No, Entity Type 1 Provider (Individual) is not a Sole Proprietor
X

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