Organization Active NPI

Dr Yang Integrated Medicine PC

  • Medical Specialty Clinic/Center
  • Flushing, NY
National Provider Identifier
1306223441
Registry record updated Apr 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
263307 Issued in NY
Legal business name
DR YANG INTEGRATED MEDICINE PC
Practice address
4235 Main St Ste 3K
Flushing, NY 11355-3956
Phone
(718) 886-0131
NPI assigned
Apr 27, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2015

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

Authorized official

Name
Zhigng Yang, D.O.
Title
D.O.
Phone
(917) 403-8795

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X 263307 NY Primary

Addresses

Primary practice location

4235 Main St Ste 3K
Flushing, NY 11355-3956

Mailing address

8035 Springfield Blvd
Apt 2K
Queens Village, NY 11427-1217

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150810001874 NY Part B Supplier - Clinic/Group Practice 0042525743 Receives reassigned benefits from 4 practitioners
Practice locations: Brooklyn, NY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1430092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430092800000",
    "number": "1306223441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8035 SPRINGFIELD BLVD",
            "address_2": "APT 2K",
            "city": "QUEENS VILLAGE",
            "state": "NY",
            "postal_code": "114271217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4235 MAIN ST STE 3K",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113553956",
            "telephone_number": "718-886-0131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR YANG INTEGRATED MEDICINE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-27",
        "last_updated": "2015-04-27",
        "status": "A",
        "authorized_official_last_name": "YANG",
        "authorized_official_first_name": "ZHIGNG",
        "authorized_official_title_or_position": "D.O.",
        "authorized_official_telephone_number": "917-403-8795",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "NY",
            "license": "263307",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.