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BRIAN YUDHISTIRA NP
NPI 1508442567
Nurse Practitioner - Psychiatric/Mental Health in New York, NY

Active since March 21, 2021
80 5TH AVE, NEW YORK, NY 10011(347) 707-7735(718) 750-9135 Get Directions Write a Review

NPPES record last updated: July 6, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 6, 2024, Aug 19, 2022, Mar 21, 2021 (3 updates tracked since 2021).

About Brian Yudhistira Np NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BRIAN YUDHISTIRA NP (NPI 1508442567) is an individual psychiatric/mental health provider in New York, New York, licensed in New York (403375) and active in the NPI registry since March 2021. He maintains 3 additional practice locations.

NPPES Registry Identity

NPI1508442567
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameBRIAN YUDHISTIRACredential: NP
Location Address80 5TH AVENew York, NY 10011-8002
Mailing Address210 Waverly AveKenmore, NY 14217-1056 · (347) 229-3939
Phone(347) 707-7735
Fax(718) 750-9135
Sole ProprietorNo
Enumeration DateMarch 21, 2021
Last NPPES UpdateJuly 6, 20243 updates tracked since enumeration
NPPES CertifiedJuly 12, 2023
✔ NPI 1508442567 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in NY · 403375
Also ListedRegistered Nurse · Psychiatric/Mental HealthTaxonomy 163WP0808X · License 752585 (NY)
80 5TH AVE, New York, NY 10011
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Secondary Practice Locations 3

Location 1210 Waverly AveKenmore, NY 14217-1056 · Phone (347) 229-3939
Location 2254 Franklin St Fl 1Buffalo, NY 14202-1932 · Phone (716) 852-1117 · Fax (716) 852-1110
Location 33176 Abbott Rd Ste 800Orchard Park, NY 14127-1069 · Phone (716) 391-5700 · Fax (716) 240-9878

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. LUISE K WEINRICH D.MIN, LCSW
Social Worker (Clinical)
80 5TH AVE, SUITE 903A
NEW YORK, NY 10011
New York County (646) 493-1736
MS. JULIE B ROSENTHAL LMSW
Social Worker (Clinical)
80 5TH AVE, SUITE 903 B #10
NEW YORK, NY 10011
New York County (917) 362-0922
MR. FREDERICK A AIESE LCSW
Social Worker (Clinical)
80 5TH AVE, SUITE 903A
NEW YORK, NY 10011
New York County (718) 755-4450
MS. SARAH M. WAXSE L.C.S.W.
Social Worker (Clinical)
80 5TH AVE, SUITE 1606
NEW YORK, NY 10011
New York County (212) 473-9557
DR. MICHAEL A LIGUORI MD
Specialist
80 5TH AVE, ROOM 1601
NEW YORK, NY 10011
New York County (212) 645-8500
ANGELA KANG PH.D.
Psychologist (Counseling)
80 5TH AVE, SUITE 903B
NEW YORK, NY 10011
New York County (718) 654-5509
ANDREAS EVDOKAS PH.D.
Psychologist (Clinical)
80 5TH AVE, SUITE 903 ROOM 12
NEW YORK, NY 10011
New York County (212) 330-8133
DR. LOUIS JOHN PETERSON DC
Chiropractor
80 5TH AVE, SUITE1204
NEW YORK, NY 10011
New York County (212) 242-3210

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Brian Yudhistira's NPI number?

The NPI number for Brian Yudhistira is 1508442567. It was assigned to this individual provider in the NPPES registry on March 21, 2021.

Where is Brian Yudhistira located?

Brian Yudhistira practices at 80 5th Ave, New York, NY 10011. The listed phone number is (347) 707-7735.

What is Brian Yudhistira's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Brian Yudhistira was last updated on July 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.