NPIMap

Individual provider Active NPI

Yueting Shang, MD PHD

  • Internal Medicine Physician
  • Bayside, NY
National Provider Identifier
1093067498
Registry record updated Aug 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
271870 Issued in NY
Practice address
4316 215TH St Apt 1
Bayside, NY 11361-2976
Phone
(718) 355-9808
NPI assigned
Oct 9, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 271870 NY Primary

Addresses

Primary practice location

4316 215TH St Apt 1
Bayside, NY 11361-2976

Mailing address

4316 215TH St Apt 1
Bayside, NY 11361-2976
Phone (718) 355-9808

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
I20140616000514 NY Practitioner - Internal Medicine 9638393598 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2002
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

4316 215TH St
Apt 1
Bayside, NY 11361-2976
Phone (718) 355-9808

Hospital & facility affiliations

  • Americare Certified Special Services, Inc Chha Home health agency, Brooklyn, NY, CCN 337290
  • M J H S Hospice and Palliative Care, Inc Hospice, New York, NY, CCN 331529
  • New York-Presbyterian/Queens Hospital, Flushing, NY, CCN 330055
  • Flushing Hospital Medical Center Hospital, Flushing, NY, CCN 330193
  • Long Island Care Center Inc Nursing home, Flushing, NY, CCN 335294

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
271870NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Flushing Hospital & Medical Center Past Accepting new patients
Newyork-Presbyterian-Queens Past Accepting new patients
Flushing Hospital & Medical Center Past Accepting new patients
Long Island Care Center Inc Past Accepting new patients

Networks

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

Interoperability endpoints

  • Direct secure messaging: yus3001@direct.nyp.org
  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/
  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/

Organizations & group practices 5

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.

Hospital & facility affiliations 9

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": "1349740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692835200000",
    "number": "1093067498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4316 215TH ST APT 1",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "113612976",
            "telephone_number": "718-355-9808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4316 215TH ST APT 1",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "113612976",
            "telephone_number": "718-355-9808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHANG",
        "first_name": "YUETING",
        "name_prefix": "Dr.",
        "credential": "MD PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-09",
        "last_updated": "2023-08-24",
        "certification_date": "2023-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "271870",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayside, NY

Sources for this page

Verify at the official NPI Registry.