Individual provider Active NPI

Doo H Yang, LAC

  • Acupuncturist
  • Tappan, NY
National Provider Identifier
1285937789
Registry record updated Dec 6, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
004504-1 Issued in NY
Practice address
9 Tappan PLZ
Tappan, NY 10983-2814
Phone
(845) 359-0953
Fax
(845) 359-0953
NPI assigned
Dec 6, 2010
Last updated
Dec 6, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 6, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 004504-1 NY Primary

Addresses

Primary practice location

9 Tappan PLZ
Tappan, NY 10983-2814

Mailing address

9 Tappan PLZ
Tappan, NY 10983-2814
Phone (845) 359-0953

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

LicenseStateTypeSpecialty
004504-1NYMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Nanyawon Inc. Acupuncturist Past Accepting new patients

Organizations & group practices 1

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": "1291593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1291593600000",
    "number": "1285937789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 TAPPAN PLZ",
            "city": "TAPPAN",
            "state": "NY",
            "postal_code": "109832814",
            "telephone_number": "845-359-0953",
            "fax_number": "845-359-0953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 TAPPAN PLZ",
            "city": "TAPPAN",
            "state": "NY",
            "postal_code": "109832814",
            "telephone_number": "845-359-0953",
            "fax_number": "845-359-0953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YANG",
        "first_name": "DOO",
        "middle_name": "H",
        "credential": "LAC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-12-06",
        "last_updated": "2010-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "004504-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tappan, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.