Individual provider Active NPI

Jonathan Yao, M.D.

  • Dermatopathology (Pathology) Physician
  • Greensboro, NC
National Provider Identifier
1316263395
Registry record updated Apr 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatopathology (Pathology) PhysicianTaxonomy code 207ZD0900X
License
MD24014 Issued in ME
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

Updated by the provider on Apr 24, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1316263395MedicaidME

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ, ME3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20170908000288 NY Practitioner - Pathology 6608162904 Reassigns benefits to 5 organizations
I20221221001702 NJ Practitioner - PathologyPractitioner - Dermatology 6608162904 Reassigns benefits to 1 organization
I20231025003120 ME Practitioner - Pathology 6608162904 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
PathologyAlso: Dermatology
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Summit Medical Group PAGroup PAC ID 5395642276, 1,204 clinicians
Moss Dermatology LLCGroup PAC ID 3072662956, 2 clinicians
Westchester Medical Group, P.CGroup PAC ID 6406752963, 410 clinicians
Western New York Dermatology PLLCGroup PAC ID 6103141619, 15 clinicians

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

LicenseStateTypeSpecialty
289270NYMDSchool Registered Nurse
25MA11628600NJMDDermatopathology (Pathology) Physician
2016-01672NCMDAnatomic Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Moss Dermatology LLC CurrentSince Jan 5, 2025 Accepting new patients
Western New York Dermatology, PLLC CurrentSince Aug 1, 2025 Accepting new patients
New York Gastroenterology Associates LLP CurrentSince Jul 1, 2025 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.