Active NPI
Jonathan Yao, M.D.
- Dermatopathology (Pathology) Physician
- Greensboro, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatopathology (Pathology) Physician
- License
- MD24014
- Practice address
- 706 Green Valley Rd
Suite 104
Greensboro, NC 27408-7038 - Phone
- (336) 387-2500
- NPI assigned
- Apr 15, 2010
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatopathology (Pathology) Physician | 207ZD0900X | MD24014 | ME | Primary |
| Anatomic Pathology Physician | 207ZP0101X | 2016-01672 | NC | |
| Dermatopathology (Pathology) Physician | 207ZD0900X | 25MA11628600 | NJ |
Addresses
Primary practice location
706 Green Valley Rd
Suite 104
Greensboro, NC 27408-7038
Mailing address
1 Diamond Hill Rd
Berkeley Heights, NJ 07922-2104
Other practice location 1
22 Bramhall St
Portland, ME 04102-3134
Phone (207) 482-7800
Other practice location 2
1225 McBride Ave
Woodland Park, NJ 07424-3812
Phone (908) 277-8699
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316263395 | Medicaid | ME |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, NJ, ME
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Pathology
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1 Diamond Hill Rd
Berkeley Heights, NJ 07922-2104
Phone (908) 273-4300
10919 72ND Rd
Forest Hills, NY 11375-7826
Phone (718) 268-0418
210 Westchester Ave
White Plains, NY 10604-2901
Phone (914) 682-0700
297 Spindrift Dr
Suite 100
Williamsville, NY 14221-7894
Phone (716) 831-2600
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 289270 | NY | MD | School Registered Nurse |
| 25MA11628600 | NJ | MD | Dermatopathology (Pathology) Physician |
| 2016-01672 | NC | MD | Anatomic Pathology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Moss Dermatology LLC | Current | Accepting new patients | |
| Western New York Dermatology, PLLC | Current | Accepting new patients | |
| New York Gastroenterology Associates LLP | Current | Accepting new patients | |
| Yorkville Medical Associates PLLC | Past | Accepting new patients |
Locations
311 E 79th St
#2A
New York, NY 10075
Phone (212) 996-6633
297 Spindrift Dr
Williamsville, NY 14221
Phone (716) 635-0688
297 Spindrift Dr
Ste 100
Williamsville, NY 14221
Phone (716) 631-8863
Networks
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H5989
Interoperability endpoints
- jyao@navaderm.emadirect.md
Organizations & group practices 8
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Dermatology Physician
- Forest Hills, NY
- NPI 1780835918
-
- Specialist
- Williamsville, NY
- NPI 1083030498
-
- Multi-Specialty Clinic/Center
- Berkeley Heights, NJ
- NPI 1942254347
-
- Critical Care Medicine (Internal Medicine) Physician
- Rye Brook, NY
- NPI 1881653822
-
- Gastroenterology Physician
- New York, NY
- NPI 1356428387
-
- Urgent Care Clinic/Center
- New York, NY
- NPI 1801277629
-
- Anatomic Pathology & Clinical Pathology Physician
- Portland, ME
- NPI 1386757607
-
- Anesthesiology Physician
- New York, NY
- NPI 1740504679
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1271289600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776988800000",
"number": "1316263395",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 DIAMOND HILL RD",
"city": "BERKELEY HEIGHTS",
"state": "NJ",
"postal_code": "079222104"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "706 GREEN VALLEY RD",
"address_2": "SUITE 104",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274087038",
"telephone_number": "336-387-2500"
}
],
"practiceLocations": [
{
"address_1": "22 Bramhall St",
"address_purpose": "LOCATION",
"city": "Portland",
"state": "ME",
"postal_code": "041023134",
"country_code": "US",
"telephone_number": "207-482-7800",
"fax_number": "207-482-7898",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1225 McBride Ave",
"address_purpose": "LOCATION",
"city": "Woodland Park",
"state": "NJ",
"postal_code": "074243812",
"country_code": "US",
"telephone_number": "908-277-8699",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "YAO",
"first_name": "JONATHAN",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-04-15",
"last_updated": "2026-04-24",
"certification_date": "2026-04-24",
"status": "A"
},
"taxonomies": [
{
"code": "207ZD0900X",
"taxonomy_group": "",
"desc": "Pathology, Dermatopathology",
"state": "ME",
"license": "MD24014",
"primary": true
},
{
"code": "207ZP0101X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology",
"state": "NC",
"license": "2016-01672",
"primary": false
},
{
"code": "207ZD0900X",
"taxonomy_group": "",
"desc": "Pathology, Dermatopathology",
"state": "NJ",
"license": "25MA11628600",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1316263395",
"state": "ME"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Greensboro, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.