Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Yuri A Stippa, MD

Individual provider Family Medicine Physician · NPI 1104147545

Yuri A Stippa, MD is a Family Practice in Kingston, New York. Qualified in 2010, 16 years ago. Practices with North Shore Lij Urgent Care PC, a 395-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
16
Licensed in
OH
In the registry since
2010
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

40 Hurley Ave Ste 4
Kingston, NY 12401-3738
Phone: (845) 338-5600
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 730 W Market St, Lima, OH 45801-4602 — (419) 227-3361

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 121186 (OH)

Record details

NPI number1104147545
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 21, 2010
Last updated in NPPESDecember 5, 2022
Certification dateOctober 28, 2022
Mailing address40 Hurley Ave Ste 4, Kingston, NY 12401-3738

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice North Shore Lij Urgent Care Pc — 395 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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