Organization Active NPI

Yan Ling Gao, Physician, P.C.

  • Neurology Physician
  • Croton on Hudson, NY
National Provider Identifier
1104995174
Registry record updated Apr 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
220427 Issued in NY
Legal business name
YAN LING GAO, PHYSICIAN, P.C.
Practice address
6 Mount Airy Rd
Croton on Hudson, NY 10520-2135
Phone
(914) 271-8686
Fax
(914) 271-8376
NPI assigned
Nov 6, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2008

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

Authorized official

Name
Dr. Yan Ling Gao, M.D.NPI 1326052994
Title
President
Phone
(914) 271-8686

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0400X 220427 NY Primary

Addresses

Primary practice location

6 Mount Airy Rd
Croton on Hudson, NY 10520-2135

Mailing address

6 Mount Airy Rd
Croton on Hudson, NY 10520-2135
Phone (914) 271-8686

Other identifiers 1

IdentifierTypeStateIssuer
02186189MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080318000484 NY Part B Supplier - Clinic/Group Practice 8729164645 Receives reassigned benefits from 1 practitioner
Practice locations: Croton on Hudson, NY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208908800000",
    "number": "1104995174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 MOUNT AIRY RD",
            "city": "CROTON ON HUDSON",
            "state": "NY",
            "postal_code": "105202135",
            "telephone_number": "914-271-8686",
            "fax_number": "914-271-8376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 MOUNT AIRY RD",
            "city": "CROTON ON HUDSON",
            "state": "NY",
            "postal_code": "105202135",
            "telephone_number": "914-271-8686",
            "fax_number": "914-271-8376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YAN LING GAO, PHYSICIAN, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-06",
        "last_updated": "2008-04-23",
        "status": "A",
        "authorized_official_last_name": "GAO",
        "authorized_official_first_name": "YAN LING",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "914-271-8686",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NY",
            "license": "220427",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02186189",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Croton on Hudson, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.