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YEAHSEON BRUININGS MD FAM PRACT
NPI 1669676466
Family Medicine in Bayside, NY

Active since June 14, 2007CLIA 33D1028182 · Waiver
3438 BELL BLVD, PH FLOOR 5, BAYSIDE, NY 11361(718) 360-5768 Get Directions Write a Review

NPPES record last updated: January 21, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Yeahseon Bruinings Md Fam Pract NPPES

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

YEAHSEON BRUININGS MD FAM PRACT (NPI 1669676466) is a healthcare organization registered as a family medicine in Bayside, New York and active in the NPI registry since June 2007. The organization holds a CLIA Waiver certificate valid through July 20, 2028 and lists Yeahseon Choi Bruinings, Member , Physician, as its authorized official.

NPPES Registry Identity

NPI1669676466
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameYEAHSEON BRUININGS MD FAMILY PRACTICE PLLC
Location Address3438 BELL BLVD, PH FLOOR 5Bayside, NY 11361-1730
Mailing Address3438 Bell Blvd, Ph Floor 5Bayside, NY 11361-1730 · (718) 360-5768
Phone(718) 360-5768
Organization SubpartNo
Authorized OfficialYeahseon Choi BruiningsMember , Physician · (718) 360-5768
Enumeration DateJune 14, 2007
Last NPPES UpdateJanuary 21, 2013
✔ NPI 1669676466 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in NY · 226709
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
3438 BELL BLVD, Bayside, NY 11361
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Other Names 1

Other NameYeahseon Bruinings Md Fam Pract

Other Identifiers 4

Medicare UPINH73104NY
Medicaid02405338NY
Medicare PIN06630G
Medicare PIN06630

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 33D1028182

Yeahseon Bruinings MD Family Practice PLLC · Bayside, NY
Active · expires Jul 20, 2028
CLIA Number33D1028182
Laboratory TypePhysician Office
Certificate Effective DateJuly 21, 2026
Certificate Expiration DateJuly 20, 2028
Laboratory DirectorYeahseon Bruinings
Laboratory Phone(718) 360-5768
Laboratory LocationYeahseon Bruinings MD Family Practice PLLC34-38 Bell Boulevard, Ph 5th Floor, Bayside, NY 11361
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

ALEXANDER FAUCI DO
Internal Medicine
3438 BELL BLVD
BAYSIDE, NY 11361
Queens County (631) 512-1717
YEAHSEON CHOI BRUININGS MD
Family Medicine
3438 BELL BLVD, PH FLOOR 5
BAYSIDE, NY 11361
Queens County (718) 360-5768

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 Yeahseon Bruinings MD Family Practice PLLC's NPI number?

The NPI number for Yeahseon Bruinings MD Family Practice PLLC is 1669676466. It was assigned to this organization in the NPPES registry on June 14, 2007. The provider is also known as Yeahseon Bruinings MD Fam Pract.

Where is Yeahseon Bruinings MD Family Practice PLLC located?

Yeahseon Bruinings MD Family Practice PLLC is located at 3438 Bell Blvd Ph Floor 5, Bayside, NY 11361. The listed phone number is (718) 360-5768.

What is Yeahseon Bruinings MD Family Practice PLLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Yeahseon Bruinings MD Family Practice PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D1028182) is associated with this NPI, valid through July 20, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Yeahseon Bruinings MD Family Practice PLLC was last updated on January 21, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.