Individual provider Active NPI

Nicolas Yap Gno, MD

  • Early Intervention Provider Agency
  • Bronx, NY
National Provider Identifier
1073688073
Registry record updated Mar 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
License
115291 Issued in NY
Practice address
2445 Arthur Ave
Bronx, NY 10458
Phone
(646) 477-9631
Fax
(718) 733-2037
NPI assigned
Nov 22, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 31, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 115291 NY
Early Intervention Provider Agency 252Y00000X 115291 NY Primary

Addresses

Primary practice location

2445 Arthur Ave
Bronx, NY 10458

Mailing address

2445 Arthur Ave
Bronx, NY 10458
Phone (646) 477-9636

Other identifiers 1

IdentifierTypeStateIssuer
00566376MedicaidNY

Medicare participation

Medicare enrollment files
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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110609000065 NY Practitioner - Otolaryngology 8527248426 Practice locations: Bronx, NY

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Other, 1966
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2445 Arthur Ave
Bronx, NY 10458-6003
Phone (718) 733-1999

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
115291NYMDSpecialist

NPI Registry JSON

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

{
    "created_epoch": "1164153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680220800000",
    "number": "1073688073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2445 ARTHUR AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "10458",
            "telephone_number": "646-477-9636",
            "fax_number": "718-733-2037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2445 ARTHUR AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "10458",
            "telephone_number": "646-477-9631",
            "fax_number": "718-733-2037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GNO",
        "first_name": "NICOLAS",
        "middle_name": "YAP",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-22",
        "last_updated": "2023-03-31",
        "certification_date": "2023-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "115291",
            "primary": false
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NY",
            "license": "115291",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00566376",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.