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DR. JACK YUAN DPM
NPI 1770071128
Podiatrist - Foot & Ankle Surgery in New York, NY

Active since May 01, 2018PECOS Enrolled
139 CENTRE ST STE 702, NEW YORK, NY 10013(212) 226-6888(212) 226-8805 Get Directions Write a Review

NPPES record last updated: July 25, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 25, 2019, Jul 6, 2019, May 1, 2018 (3 updates tracked since 2018).

About Dr. Jack Yuan Dpm NPPES

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

DR. JACK YUAN DPM (NPI 1770071128) is an individual foot & ankle surgery provider in New York, New York, licensed in New York (N006983-1) and active in the NPI registry since May 2018. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1770071128
Entity TypeIndividualMale
Primary Taxonomy213ES0103X
Provider Legal NameDR. JACK YUANCredential: DPM
Location Address139 CENTRE ST STE 702New York, NY 10013-4557
Mailing Address139 Centre St Ste 702New York, NY 10013-4557 · (212) 226-6888 · Fax (212) 226-8805
Phone(212) 226-6888
Fax(212) 226-8805
Sole ProprietorNo
Enumeration DateMay 1, 2018
Last NPPES UpdateJuly 25, 20193 updates tracked since enumeration
✔ NPI 1770071128 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
License✔ Licensed in NY · N006983-1
139 CENTRE ST STE 702, New York, NY 10013
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jack Yuan Dpm is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 5

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

CHRISTOPHER CHOW DPM PC
Podiatrist (Foot & Ankle Surgery)
139 CENTRE ST STE 702
NEW YORK, NY 10013
New York County (917) 306-2885
CHRISTOPHER CHOW DPM PC
Durable Medical Equipment & Medical Supplies
139 CENTRE ST STE 702
NEW YORK, NY 10013
New York County (212) 226-6888
DR. CHRISTOPHER CHOW DPM
Podiatrist (Foot & Ankle Surgery)
139 CENTRE ST STE 702
NEW YORK, NY 10013
New York County (212) 226-6888
SUSAN ZHAO D.P.M.
Podiatrist (Foot & Ankle Surgery)
139 CENTRE ST STE 702
NEW YORK, NY 10013
New York County (212) 226-6888
MR. GUAN ZHOU ZHU D.P.M.
Podiatrist
139 CENTRE ST STE 702
NEW YORK, NY 10013
New York County (212) 226-6888

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 Jack Yuan's NPI number?

The NPI number for Jack Yuan is 1770071128. It was assigned to this individual provider in the NPPES registry on May 1, 2018.

Where is Jack Yuan located?

Jack Yuan practices at 139 Centre St Ste 702, New York, NY 10013. The listed phone number is (212) 226-6888.

What is Jack Yuan's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Is Jack Yuan enrolled in Medicare?

Yes. Jack Yuan is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jack Yuan was last updated on July 25, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.