Individual provider Active NPI

Jean Jinqui Yang, M.D.

  • Specialist
  • Mineola, NY
National Provider Identifier
1114977733
Registry record updated Feb 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
208955 Issued in NY
Practice address
153 Jericho Tpke
Unit B
Mineola, NY 11501-1706
Phone
(516) 873-0200
Fax
(516) 873-0243
NPI assigned
May 12, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 18, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 208955 NY Primary

Addresses

Primary practice location

153 Jericho Tpke
Unit B
Mineola, NY 11501-1706

Mailing address

153 Jericho Tpke
Unit B
Mineola, NY 11501-1706
Phone (516) 873-0200

Other identifiers 1

IdentifierTypeStateIssuer
01822619MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20110512000804 NY Practitioner - OphthalmologyPractitioner - Emergency Medicine 9931399359 Reassigns benefits to 1 organization
O20100930071706 NY DME Supplier - Physician - General Practice 8022208446 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Mineola, NY

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Perelman School of Med at the University of Pennsylvania, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

153 Jericho Tpke
Unit B
Mineola, NY 11501-1706
Phone (516) 873-0200

153 Jericho Tpke B
Mineola, NY 11501-1706

Hospital & facility affiliations

  • St Francis Hospital - the Heart Center Hospital, Roslyn, NY, CCN 330182

Merit-based Incentive Payment System (MIPS)

Final score
93.33 of 100Reported as individual
Quality
86.66
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery45

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Jean Yang MD PC Specialist CurrentSince May 1, 1999 Accepting new patients

Locations

153 Jericho Tpke
Unit B
Mineola, NY 11501
Phone (516) 873-0200

Organizations & group practices 1

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 1

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": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1297987200000",
    "number": "1114977733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "153 JERICHO TPKE",
            "address_2": "UNIT B",
            "city": "MINEOLA",
            "state": "NY",
            "postal_code": "115011706",
            "telephone_number": "516-873-0200",
            "fax_number": "516-873-0243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "153 JERICHO TPKE",
            "address_2": "UNIT B",
            "city": "MINEOLA",
            "state": "NY",
            "postal_code": "115011706",
            "telephone_number": "516-873-0200",
            "fax_number": "516-873-0243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YANG",
        "first_name": "JEAN",
        "middle_name": "JINQUI",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-12",
        "last_updated": "2011-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "208955",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01822619",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mineola, NY

Sources for this page

Verify at the official NPI Registry.