BRIAN YUDHISTIRA NP NPI 1508442567

NPI Information

  • NPI: 1508442567
  • Provider Name: BRIAN YUDHISTIRA, NP
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Individual
  • Address: 80 5TH AVE
    NEW YORK, NY
    ZIP 10011
  • Phone: (347) 707-7735

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NPI Details

Brian Yudhistira, NP is a psychiatric/mental health nurse practitioner in New York, NY. Brian Yudhistira, NP NPI is 1508442567. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

80 5TH AVE
NEW YORK, NY
ZIP 10011-002
Phone: (347) 707-7735
Fax: (718) 750-9135

The enumeration date for this NPI number is 3/21/2021 and was last updated on 7/6/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1163WP0808XRegistered NursePsychiatric/Mental Health752585NEW YORKNo
2363LP0808XNurse PractitionerPsychiatric/Mental Health403375NEW YORKYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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