Organization Active NPI

Yang, Ber-Yuh Medical Practice, PC

  • Hematology & Oncology Physician
  • Flushing, NY
National Provider Identifier
1336335348
Registry record updated Oct 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
195503 Issued in NY
Legal business name
YANG, BER-YUH MEDICAL PRACTICE, PC
Practice address
13511 40TH Rd Ste 3D
Flushing, NY 11354-5330
Phone
(718) 539-8483
Fax
(718) 539-8422
NPI assigned
Sep 24, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2024

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

Authorized official

Name
Dr. Ber-Yuh Yang, M.D.NPI 1851397129
Title
Physician
Phone
(718) 539-8483

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RH0003X 195503 NY Primary

Addresses

Primary practice location

13511 40TH Rd Ste 3D
Flushing, NY 11354-5330

Mailing address

13511 40TH Rd Ste 3D
Flushing, NY 11354-5329
Phone (718) 539-8483

Other identifiers 1

IdentifierTypeStateIssuer
01750238MedicaidNY

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071204000337 NY Part B Supplier - Clinic/Group Practice 4587753215 Receives reassigned benefits from 1 practitioner
Practice locations: Flushing, NY

National Provider Directory

National Provider Directory
Tax ID family
Ber-Yuh Yang Medical Practice PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

13338 41st Rd
Ste 2H
Flushing, NY 11355
Phone (718) 539-8483

13511 40th Rd
Ste 3D
Flushing, NY 11354
Phone (718) 539-8483

Practitioners & affiliated clinicians

Practitioners 1

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": "1190592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729036800000",
    "number": "1336335348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13511 40TH RD STE 3D",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113545329",
            "telephone_number": "718-539-8483",
            "fax_number": "718-539-8422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13511 40TH RD STE 3D",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113545330",
            "telephone_number": "718-539-8483",
            "fax_number": "718-539-8422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YANG, BER-YUH MEDICAL PRACTICE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-24",
        "last_updated": "2024-10-16",
        "certification_date": "2024-10-16",
        "status": "A",
        "authorized_official_last_name": "YANG",
        "authorized_official_first_name": "BER-YUH",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "718-539-8483",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "NY",
            "license": "195503",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01750238",
            "state": "NY"
        }
    ],
    "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 Oct 16, 2024; 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.