Individual provider Active NPI

Ziqian Yan

  • Psychiatric/Mental Health Nurse Practitioner
  • New York, NY
National Provider Identifier
1437869906
Registry record updated Feb 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
405893 Issued in NY
Practice address
353 Lexington Ave RM 800
New York, NY 10016-0942
Phone
(408) 314-0933
NPI assigned
Nov 25, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 855860 NY
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 405893 NY Primary

Addresses

Primary practice location

353 Lexington Ave RM 800
New York, NY 10016-0942

Mailing address

620 W 153Rd St Apt 16a
New York, NY 10031-0849

Other practice location 1

463 7th Ave Fl 18
New York, NY 10018-7760
Phone (408) 314-0933

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20250806002702 NY Practitioner - Nurse Practitioner 1557879814 Reassigns benefits to 1 organization
I20260407002713 NC Practitioner - Nurse Practitioner 1557879814 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Big Leap Medical Group PAGroup PAC ID 9830636935, 22 clinicians

Practice addresses (Care Compare)

295 Madison Ave
RM 407
New York, NY 10017-6438
Phone (332) 334-1511

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
855860NYMDRegistered Nurse
405893NYMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Big Leap Medical Group of America P.a. CurrentSince Feb 8, 2026 Accepting new patients
Big Leap Medical Group PA Psychiatric/Mental Health CurrentSince Jul 1, 2025 Accepting new patients

Locations

295 Madison Ave
Rm 407
New York, NY 10017
Phone (332) 334-1511

169 Madison Ave
Ste 2828
New York, NY 10016
Phone (332) 330-4076

Organizations & group practices 2

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": "1669334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739577600000",
    "number": "1437869906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 W 153RD ST APT 16A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100310849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "353 LEXINGTON AVE RM 800",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100160942",
            "telephone_number": "408-314-0933"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "463 7th Ave Fl 18",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100187760",
            "country_code": "US",
            "telephone_number": "408-314-0933",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YAN",
        "first_name": "ZIQIAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-11-25",
        "last_updated": "2025-02-15",
        "certification_date": "2025-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "855860",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "405893",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.