Individual provider Active NPI

Jun Yang, M.D.

  • Internal Medicine Physician
  • Flushing, NY
National Provider Identifier
1184891848
Registry record updated Feb 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
257366 Issued in NY
Practice address
13443 Maple Ave
C1D
Flushing, NY 11355-4780
Phone
(718) 886-7588
Fax
(718) 886-7580
NPI assigned
May 13, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 234826 MA
Internal Medicine Physician 207R00000X 257366 NY Primary
Nephrology Physician 207RN0300X 257366 NY

Addresses

Primary practice location

13443 Maple Ave
C1D
Flushing, NY 11355-4780

Mailing address

14329 Barclay Ave
Suite 5D
Flushing, NY 11355-1990
Phone (718) 886-7588

Other identifiers 1

IdentifierTypeStateIssuer
03239723MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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 1

Enrollment IDStateProvider typePAC IDDetails
I20110318000285 NY Practitioner - Internal MedicinePractitioner - Nephrology 7517140296 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Nephrology
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

13443 Maple Ave
Suite C1D
Flushing, NY 11355-4780
Phone (718) 886-7588

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
234826MAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Maimonides Medical Center Current Accepting new patients
H & H Medical PC CurrentSince Jun 1, 2012 Accepting new patients

Locations

13443 Maple Ave
Ste C1D
Flushing, NY 11355
Phone (718) 886-7588

Networks

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

Interoperability endpoints

  • Direct secure messaging: junyang@mai.allscriptsdirect.net
  • Direct secure messaging: jyang16052@direct.medisys.org

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1210636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708128000000",
    "number": "1184891848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14329 BARCLAY AVE",
            "address_2": "SUITE 5D",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113551990",
            "telephone_number": "718-886-7588",
            "fax_number": "718-886-7580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13443 MAPLE AVE",
            "address_2": "C1D",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113554780",
            "telephone_number": "718-886-7588",
            "fax_number": "718-886-7580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YANG",
        "first_name": "JUN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-13",
        "last_updated": "2024-02-17",
        "certification_date": "2024-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "234826",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "257366",
            "primary": true
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NY",
            "license": "257366",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03239723",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, NY

Sources for this page

Verify at the official NPI Registry.