Individual provider Active NPI

Hye Min Yang

  • Family Nurse Practitioner
  • Garden City, NY
National Provider Identifier
1447839857
Registry record updated Apr 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F347192-01 Issued in NY
Practice address
200 Garden City PLZ Ste 100
Garden City, NY 11530-3337
Phone
(516) 663-6400
NPI assigned
Apr 4, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F347192-01 NY Primary

Addresses

Primary practice location

200 Garden City PLZ Ste 100
Garden City, NY 11530-3337

Mailing address

29 Cambria Rd
Syosset, NY 11791-6503
Phone (917) 655-3556

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230906002453 NY Practitioner - Nurse Practitioner 4183088370 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
F347192-01NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Edward Condon Medical PC CurrentSince Jul 19, 2023 Accepting new patients

Locations

6080 Jericho Tpke
Ste 314
Commack, NY 11725
Phone (631) 462-2200

1715 N Ocean Ave
Medford, NY 11763
Phone (631) 462-2200

Interoperability endpoints

  • Direct secure messaging: hye.min.yang.1@1427.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/1427/brand/1/csg/1/fhir/r4

Organizations & group practices 1

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": "1617494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617494400000",
    "number": "1447839857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 CAMBRIA RD",
            "city": "SYOSSET",
            "state": "NY",
            "postal_code": "117916503",
            "telephone_number": "917-655-3556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 GARDEN CITY PLZ STE 100",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "115303337",
            "telephone_number": "516-663-6400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YANG",
        "first_name": "HYE MIN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-04",
        "last_updated": "2021-04-04",
        "certification_date": "2021-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F347192-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garden City, NY

Sources for this page

Verify at the official NPI Registry.