Active NPI
Yifei D Fang
- Pharmacist
- New York, NY
National Provider Identifier
1285883199
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 049438
- Practice address
- 36 Gouverneur St
New York, NY 10002-5763 - Phone
- (718) 309-1599
- NPI assigned
- Sep 16, 2008
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | 049438 | NY | Primary |
Addresses
Primary practice location
36 Gouverneur St
New York, NY 10002-5763
Mailing address
1672 Stephen St
Ridgewood, NY 11385-5346
Phone (718) 309-1599
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 049438 | NY | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1221523200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1340582400000",
"number": "1285883199",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1672 STEPHEN ST",
"city": "RIDGEWOOD",
"state": "NY",
"postal_code": "113855346",
"telephone_number": "718-309-1599"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "36 GOUVERNEUR ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100025763",
"telephone_number": "718-309-1599"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FANG",
"first_name": "YIFEI",
"middle_name": "D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-09-16",
"last_updated": "2012-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "049438",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.