Robert Yan, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

057583 Issued in NY

Practice address

101 Lafayette St FL 6
New York, NY 10013-4153

Phone

(212) 226-6368

NPI assigned

Aug 21, 2014

Last updated

Jan 21, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Robert Yan DDS P.C.

  • Dental Clinic/Center
  • Brooklyn, NY
  • NPI 1902667504
  NPD Authorized official
• Robert Yan Dental Arts PLLC

  dba Bensonhurst Dental Arts

  • General Practice Dentistry
  • Brooklyn, NY
  • NPI 1154150050
  NPD Authorized official
• Bay Parkway Dental Associates

  • General Practice Dentistry
  • Brooklyn, NY
  • NPI 1275025413
  NPD (past)
• Ira E Gronowitz DDS PC

  • Dentist
  • Brooklyn, NY
  • NPI 1982683249
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1408579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705795200000",
    "number": "1053710418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1658 80TH ST APT 1R",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112141624",
            "telephone_number": "917-285-5181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 LAFAYETTE ST FL 6",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100134153",
            "telephone_number": "212-226-6368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YAN",
        "first_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-08-21",
        "last_updated": "2024-01-21",
        "certification_date": "2024-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "057583",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Li Yan
• Lily Du Yan, M.D.
• Megan Yan
• Qingya Yan
• Qiong Yan, PHARMD
• SHR Jan Yan, RN
• Wentao Yan, DDS
• Winnie Yan
• Xiaohong Yan, MD
• Yuhong Yan, MD

• Dentist in New York, NY
• Providers in New York, NY by specialty
• Dentist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.