Active NPI
Jian Yi Yan, LIC. ACUPUNCTURIST
- Acupuncturist
- New York, NY
National Provider Identifier
1366611428
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 002795
- Practice address
- 230 W 79TH St
#14N
New York, NY 10024-6246 - Phone
- (212) 769-9359
- NPI assigned
- Feb 22, 2008
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Acupuncturist | 171100000X | 002795 | NY | Primary |
Addresses
Primary practice location
230 W 79TH St
#14N
New York, NY 10024-6246
Mailing address
230 W 79TH St
#14N
New York, NY 10024-6246
Phone (212) 769-9359
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 002795 | Other | NY | ACUPUNCTURE LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 002795 | NY | MD | Behavioral Analyst |
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1203638400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1203638400000",
"number": "1366611428",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "230 W 79TH ST",
"address_2": "#14N",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100246246",
"telephone_number": "212-769-9359"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "230 W 79TH ST",
"address_2": "#14N",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100246246",
"telephone_number": "212-769-9359"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YAN",
"first_name": "JIAN YI",
"credential": "LIC. ACUPUNCTURIST",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-02-22",
"last_updated": "2008-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "NY",
"license": "002795",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ACUPUNCTURE LICENSE",
"identifier": "002795",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.