Jiyoung Jeong Yang, ANP-C

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

F308815-1 Issued in NY

Practice address

15814 Northern Blvd Ste Ul3
Flushing, NY 11358-1600

Phone

(917) 633-7713

Fax

(917) 633-7713

NPI assigned

Sep 17, 2018

Sex

Female

Sole proprietor

No

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: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Suffolk First Medical, PCGroup PAC ID 4880640325, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H3359
• Healthfirst Medicare Network H5989

Interoperability endpoints

• Direct secure messaging: woori@jiyoungyangnp.kareodirect.com

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.

• Jiyoung Yang, NP in Adult Health PLLC

  • Primary Care Nurse Practitioner
  • Flushing, NY
  • NPI 1144027962
  Medicare reassignment NPD Authorized official
• Suffolk First Medical, P.C.

  • Internal Medicine Physician
  • Brentwood, NY
  • NPI 1851403398
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1537142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741737600000",
    "number": "1053895904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 HILLSIDE LN",
            "city": "SYOSSET",
            "state": "NY",
            "postal_code": "117914111",
            "telephone_number": "917-940-0302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15814 NORTHERN BLVD STE UL3",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113581600",
            "telephone_number": "917-633-7713",
            "fax_number": "917-633-7713"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1235 Suffolk Ave",
            "address_purpose": "LOCATION",
            "city": "Brentwood",
            "state": "NY",
            "postal_code": "117174511",
            "country_code": "US",
            "telephone_number": "631-436-7770",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YANG",
        "first_name": "JIYOUNG",
        "middle_name": "JEONG",
        "name_prefix": "Ms.",
        "credential": "ANP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-17",
        "last_updated": "2025-03-12",
        "certification_date": "2025-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NY",
            "license": "F308815-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hong Yang, M.D.
• Hua Yang, MD
• Hui Chih Yang, MD
• Jennifer Yang, RN
• Jingwen Yang
• Jun Yang, M.D.
• Junwen Yang
• Kevin Yang
• Lin Yang
• Lisa Yang, MD

• Primary Care Nurse Practitioner in Flushing, NY
• Providers in Flushing, NY by specialty
• Primary Care Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2025; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.