Active NPI
Lawrence Yang, M.D.
- Family Medicine Physician
- Hicksville, NY
National Provider Identifier
1225280589
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 250721
- Practice address
- 412 S Broadway
Hicksville, NY 11801-5009 - Phone
- (516) 938-1552
- Fax
- (718) 228-4726
- NPI assigned
- Oct 17, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 250721 | NY | Primary |
Addresses
Primary practice location
412 S Broadway
Hicksville, NY 11801-5009
Mailing address
28 Salem Rd
Hicksville, NY 11801-5745
Phone (718) 986-9640
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 250721 | NY | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1224201600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1224201600000",
"number": "1225280589",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "28 SALEM RD",
"city": "HICKSVILLE",
"state": "NY",
"postal_code": "118015745",
"telephone_number": "718-986-9640",
"fax_number": "718-228-4726"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "412 S BROADWAY",
"city": "HICKSVILLE",
"state": "NY",
"postal_code": "118015009",
"telephone_number": "516-938-1552",
"fax_number": "718-228-4726"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YANG",
"first_name": "LAWRENCE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-10-17",
"last_updated": "2008-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NY",
"license": "250721",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hicksville, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.