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MR. KEVIN YUDIANTO CTRS
NPI 1720790793
Recreation Therapist in Jamaica, NY

Active since December 21, 2022
17900 LINDEN BLVD RM 219A, JAMAICA, NY 11425(718) 526-1000 Get Directions Write a Review

NPPES record last updated: December 21, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mr. Kevin Yudianto Ctrs NPPES

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

MR. KEVIN YUDIANTO CTRS (NPI 1720790793) is an individual recreation therapist in Jamaica, New York and active in the NPI registry since December 2022.

NPPES Registry Identity

NPI1720790793
Entity TypeIndividualMale
Primary Taxonomy225800000X
Provider Legal NameMR. KEVIN YUDIANTOCredential: CTRS
Location Address17900 LINDEN BLVD RM 219AJamaica, NY 11425-0001
Mailing Address17900 Linden Blvd Rm 219aJamaica, NY 11425-0001 · (718) 526-1000
Phone(718) 526-1000
Sole ProprietorYes
Enumeration DateDecember 21, 2022
NPPES CertifiedDecember 21, 2022
✔ NPI 1720790793 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRecreation TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225800000X
Definition
A recreation therapist uses recreational activities for intervention in some physical, social or emotional behavior to bring about a desired change in that behavior and promote the growth and development of the patient.
17900 LINDEN BLVD RM 219A, Jamaica, NY 11425
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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 Kevin Yudianto's NPI number?

The NPI number for Kevin Yudianto is 1720790793. It was assigned to this individual provider in the NPPES registry on December 21, 2022.

Where is Kevin Yudianto located?

Kevin Yudianto practices at 17900 Linden Blvd Rm 219A, Jamaica, NY 11425. The listed phone number is (718) 526-1000.

What is Kevin Yudianto's specialty?

The primary specialty registered for this NPI is Recreation Therapist with taxonomy code 225800000X.

When was this NPI record last updated?

The NPPES record for Kevin Yudianto was last updated on December 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.