Individual provider Active NPI

Zhanqing Yan, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • West Islip, NY
National Provider Identifier
1215929781
Registry record updated Jun 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
209372 Issued in NY
Practice address
1000 Montauk Hwy
West Islip, NY 11795-4927
Phone
(917) 930-3062
Fax
(631) 629-1077
NPI assigned
Aug 19, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 209372 NY Primary

Addresses

Primary practice location

1000 Montauk Hwy
West Islip, NY 11795-4927

Mailing address

4567 Crossroads Park Dr FL 2
Liverpool, NY 13088-3589
Phone (917) 930-3062

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
I20110217000774 NY Practitioner - Pathology 6002097417 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
Other, 1985
Medicare assignment
May accept Medicare assignment
Group practices
Rajiv Bansal MD PCGroup PAC ID 3678506706, 3 clinicians
Li Gastroenterology Endoscopy PCGroup PAC ID 0143570739, 6 clinicians
A Kim Medical PCGroup PAC ID 0547333254, 4 clinicians

Practice addresses (Care Compare)

2001 Marcus Ave
New Hyde Park, NY 11042-2061
Phone (516) 437-6900

2200 Northern Blvd
Suite 212
Greenvale, NY 11548-1220
Phone (516) 636-5010

2500 Nesconset Hwy
Building 21 a
Stony Brook, NY 11790-2598
Phone (631) 751-4000

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
209372NYMDAnatomic Pathology & Clinical Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Li Gastroenterology Endoscopy PC CurrentSince Sep 1, 2018 Accepting new patients
Islandwide Gastroenterology PC CurrentSince Sep 30, 2018 Accepting new patients

Locations

1205 Franklin Ave
Ste 150
Garden City, NY 11530
Phone (516) 222-0067

2200 Northern Blvd
Ste 212
Greenvale, NY 11548
Phone (516) 590-3700

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1124409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781740800000",
    "number": "1215929781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4567 CROSSROADS PARK DR FL 2",
            "city": "LIVERPOOL",
            "state": "NY",
            "postal_code": "130883589",
            "telephone_number": "917-930-3062",
            "fax_number": "315-295-2125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 MONTAUK HWY",
            "city": "WEST ISLIP",
            "state": "NY",
            "postal_code": "117954927",
            "telephone_number": "917-930-3062",
            "fax_number": "631-629-1077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YAN",
        "first_name": "ZHANQING",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-19",
        "last_updated": "2026-06-18",
        "certification_date": "2026-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "NY",
            "license": "209372",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Islip, NY

Sources for this page

Verify at the official NPI Registry.