Organization Active NPI

Michelle Yao MD PC

  • Ophthalmology Physician
  • Jericho, NY
National Provider Identifier
1164224648
Registry record updated Nov 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
MICHELLE YAO MD PC
Doing business as
Jericho Eye Group
Practice address
366 N Broadway Ste Le1
Jericho, NY 11753-2000
Phone
(516) 715-3511
Fax
(516) 715-3511
NPI assigned
Mar 26, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2025

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

Authorized official

Name
Dr. Michelle Yao, MDNPI 1699947499
Title
President
Phone
(516) 864-3847

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
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X Primary

Addresses

Primary practice location

366 N Broadway Ste Le1
Jericho, NY 11753-2000

Mailing address

366 N Broadway Ste Le1
Jericho, NY 11753-2000
Phone (516) 715-3511

Other names 1

  • Jericho Eye Group Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250520002707 NY Part B Supplier - Clinic/Group Practice 6901324201 Receives reassigned benefits from 1 practitioner
Practice locations: Jericho, NY

National Provider Directory

National Provider Directory

Locations

366 N Broadway
Ste LE1
Jericho, NY 11753
Phone (516) 715-3511

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": "1742947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762992000000",
    "number": "1164224648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "366 N BROADWAY STE LE1",
            "city": "JERICHO",
            "state": "NY",
            "postal_code": "117532000",
            "telephone_number": "516-715-3511",
            "fax_number": "516-715-3511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "366 N BROADWAY STE LE1",
            "city": "JERICHO",
            "state": "NY",
            "postal_code": "117532000",
            "telephone_number": "516-715-3511",
            "fax_number": "516-715-3511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHELLE YAO MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-26",
        "last_updated": "2025-11-13",
        "certification_date": "2025-11-13",
        "status": "A",
        "authorized_official_last_name": "YAO",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-864-3847",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jericho Eye Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jericho, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2025; 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.