Individual provider Active NPI

Liyan Yao, MD

  • Family Medicine Physician
  • Elmhurst, NY
National Provider Identifier
1427799832
Registry record updated Jul 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
338688 Issued in NY
Practice address
4502 82ND St
Elmhurst, NY 11373-3598
Phone
(718) 779-2248
Fax
(718) 779-2448
NPI assigned
Apr 7, 2022
Last updated
Jul 25, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 338688 NY Primary

Addresses

Primary practice location

4502 82ND St
Elmhurst, NY 11373-3598

Mailing address

4502 82ND St
Elmhurst, NY 11373-3598
Phone (718) 779-2248

Other practice location 1

101 Jerusalem Ave
Hicksville, NY 11801-4951
Phone (516) 681-0681

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251119000247 NY Practitioner - Family Practice 6305337296 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

101 Jerusalem Ave
Hicksville, NY 11801-4951
Phone (516) 681-0681

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
338688NYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ly Family Medicine Hicksville Family Medicine CurrentSince Sep 18, 2025 Accepting new patients
Ly Family Medicine Elmhurst Family Medicine Current Accepting new patients
Hicksville Pediatrics Physician PC PastSince Oct 5, 2025 Accepting new patients

Locations

101 Jerusalem Ave
Hicksville, NY 11801
Phone (516) 681-0681

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1649289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753401600000",
    "number": "1427799832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4502 82ND ST",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "113733598",
            "telephone_number": "718-779-2248",
            "fax_number": "718-779-2448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4502 82ND ST",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "113733598",
            "telephone_number": "718-779-2248",
            "fax_number": "718-779-2448"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 Jerusalem Ave",
            "address_purpose": "LOCATION",
            "city": "Hicksville",
            "state": "NY",
            "postal_code": "118014951",
            "country_code": "US",
            "telephone_number": "516-681-0681",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YAO",
        "first_name": "LIYAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-07",
        "last_updated": "2025-07-25",
        "certification_date": "2025-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "338688",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elmhurst, NY

Sources for this page

Verify at the official NPI Registry.