NPIMap

Individual provider Active NPI

Peter Hans Yangga, MD

  • Infectious Disease Physician
  • New York, NY
National Provider Identifier
1083175038
Registry record updated Aug 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
328209 Issued in NY
Practice address
525 W 36TH St, Floor 6
New York, NY 10018
Phone
(212) 786-7727
Fax
(646) 638-1440
NPI assigned
Mar 30, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X 328209 NY Primary

Addresses

Primary practice location

525 W 36TH St, Floor 6
New York, NY 10018

Mailing address

525 W 36TH St, Floor 6
New York, NY 10018
Phone (212) 786-7727

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240619001807 NY Practitioner - Internal MedicinePractitioner - Infectious Disease 6800339755 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Infectious Disease
Education
Other, 2014
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Montefiore Medical Center 2,809 clinicians
North Shore-Lij Medical PC 6,374 clinicians
Marcus Avenue Medical PC 43 clinicians

Practice addresses (Care Compare)

111 E 210TH St
Bronx, NY 10467-2401
Phone (866) 633-8255

210 E 64TH St
4TH Floor
New York, NY 11065-7471
Phone (212) 434-4310

232 E 30TH St
New York, NY 10016-8202
Phone (212) 447-1609

Hospital & facility affiliations

  • Montefiore Medical Center Hospital, Bronx, NY, CCN 330059
  • Lenox Hill Hospital Hospital, New York, NY, CCN 330119

National Provider Directory

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

Practice roles (5 of 9)

OrganizationSpecialtyStatusNew patients
Marcus Avenue Medical PC CurrentSince Aug 9, 2024 Accepting new patients
Montefiore Medical Center CurrentSince Aug 16, 2024 Accepting new patients
Montefiore Medical Center Infectious Disease CurrentSince Aug 16, 2024 Accepting new patients
Montefiore Mount Vernon Hospital Past Accepting new patients
North Shore-Lij Medical PC PastSince Aug 18, 2024 Accepting new patients

Locations

111 E 210th St
Bronx, NY 10467

3411 Wayne Ave
Fl 4
Bronx, NY 10467
Phone (718) 920-4664

210 E 64th St
Fl 4
New York, NY 10065
Phone (212) 434-3365

232 E 30th St
New York, NY 10016
Phone (212) 447-1609

525 W 36th St
Fl 6
New York, NY 10018
Phone (212) 889-5265

Networks

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

Interoperability endpoints

  • Direct secure messaging: pyangga@montefioredirect.com
  • Direct secure messaging: pyangga66826@northwell.direct-ci.com
  • Direct secure messaging: peteryangga@nslijmedgr.allscriptsdirect.net

Organizations & group practices 20

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

View all 20

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1553904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723420800000",
    "number": "1083175038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 W 36TH ST, FLOOR 6",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10018",
            "telephone_number": "212-786-7727",
            "fax_number": "646-638-1440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 W 36TH ST, FLOOR 6",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10018",
            "telephone_number": "212-786-7727",
            "fax_number": "646-638-1440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YANGGA",
        "first_name": "PETER",
        "middle_name": "HANS",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-03-30",
        "last_updated": "2024-08-12",
        "certification_date": "2024-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "NY",
            "license": "328209",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.