Active NPI
Yongming Mao, MD
- Neurology with Special Qualifications in Child Neurology Physician
- Edison, NJ
National Provider Identifier
1326060740
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology with Special Qualifications in Child Neurology Physician
- License
- MA0803900
- Practice address
- 65 James St
Edison, NJ 08820-3947 - Phone
- (732) 321-7010
- Fax
- (732) 632-1584
- NPI assigned
- Jul 24, 2006
- 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 |
|---|---|---|---|---|
| Neurology with Special Qualifications in Child Neurology Physician | 2084N0402X | MA0803900 | NJ | Primary |
Addresses
Primary practice location
65 James St
Edison, NJ 08820-3947
Mailing address
829 57TH St FL 5
Brooklyn, NY 11220-3677
Phone (718) 375-3738
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pediatric Medicine
- Education
- Other, 1985
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
829 57TH St
Brooklyn, NY 11220-3677
Phone (718) 964-3930
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA0803900 | NJ | MD | Neurology with Special Qualifications in Child Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Maimonides Medical Center | Current | Accepting new patients | |
| Mountview Medical PC | Current | Accepting new patients | |
| Ae & Ly Medical Associates PLLC | Past | Accepting new patients | |
| Community Hospital Group Inc | Past | Accepting new patients | |
| Vip Bay 29 Medical.PC | Neurology With Special Qualifications in Child Neurology | Past | Accepting new patients |
| Yhq Medical, PC | Past | Accepting new patients | |
| Ae&Ly Ambulatory Endoscopy PLLC | Past | Accepting new patients |
Locations
829 57th St
#5
Brooklyn, NY 11220
Phone (718) 375-3738
829 57th St
Fl 5
Brooklyn, NY 11220
Phone (718) 375-3738
Networks
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H1722
Interoperability endpoints
- yongmingmao@mai.allscriptsdirect.net
Organizations & group practices 7
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.
-
- Neurology Physician
- Brooklyn, NY
- NPI 1124593082
-
- Family Medicine Physician
- Brooklyn, NY
- NPI 1215162342
Neurology With Special Qualifications in Child Neurology
-
- Specialist
- Brooklyn, NY
- NPI 1982998712
-
- General Acute Care Hospital
- Brooklyn, NY
- NPI 1093777492
-
- Specialist
- Edison, NJ
- NPI 1225251754
-
- Gastroenterology Physician
- Flushing, NY
- NPI 1912060229
-
- Gastroenterology Physician
- Flushing, NY
- NPI 1609019819
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153699200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1536537600000",
"number": "1326060740",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "829 57TH ST FL 5",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112203677",
"telephone_number": "718-375-3738",
"fax_number": "718-686-0188"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "65 JAMES ST",
"city": "EDISON",
"state": "NJ",
"postal_code": "088203947",
"telephone_number": "732-321-7010",
"fax_number": "732-632-1584"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAO",
"first_name": "YONGMING",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-24",
"last_updated": "2018-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0402X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
"state": "NJ",
"license": "MA0803900",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Edison, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2018; 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.