Active NPI
Northern Medical Services, PLLC
- Plastic Surgery Physician
- New York, NY
National Provider Identifier
1467145342
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Physician
- Legal business name
- NORTHERN MEDICAL SERVICES, PLLC
- Practice address
- 130 Fort Washington Ave
New York, NY 10032-4724 - Phone
- (630) 361-6267
- Fax
- (845) 625-1735
- NPI assigned
- May 29, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jingduan Yang, MD
- Title
- Ceo
- Phone
- (973) 413-7990
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Physical Medicine & Rehabilitation) Physician | 2081P2900X | |||
| Plastic Surgery Physician | 208200000X | Primary |
Addresses
Primary practice location
130 Fort Washington Ave
New York, NY 10032-4724
Mailing address
14 Jason PL Ste 202
Middletown, NY 10940-1909
Phone (973) 413-7990
Other names 1
- SY Aesthetics
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 33D2292706 | Northern Medical Services PLLC | Certificate of waiver | Mar 26, 2027 |
National Provider Directory
National Provider DirectoryLocations
14 Jason Pl
Ste 202
Middletown, NY 10940
Phone (845) 410-2300
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1685318400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1710374400000",
"number": "1467145342",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14 JASON PL STE 202",
"city": "MIDDLETOWN",
"state": "NY",
"postal_code": "109401909",
"telephone_number": "973-413-7990"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "130 FORT WASHINGTON AVE",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100324724",
"telephone_number": "630-361-6267",
"fax_number": "845-625-1735"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORTHERN MEDICAL SERVICES, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-05-29",
"last_updated": "2024-03-14",
"certification_date": "2024-02-22",
"status": "A",
"authorized_official_last_name": "YANG",
"authorized_official_first_name": "JINGDUAN",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "973-413-7990",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2081P2900X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation, Pain Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "208200000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Plastic Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "SY Aesthetics",
"code": "5",
"type": "Other Name"
},
{
"organization_name": "SY Aesthetics",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in New York, NY
- Northern Manhattan Nursing Home Inc
- Northern Manhattan Perinatal Partnership, Inc.
- Northern Manhattan Physical Therapy and Chiropractic PLLC
- Northern Manhattan PT PLLC
- Northern Manhatten Womens Health, an OB/GYN P.C.
- Northern Shores Behavioral Health Services, P.C.
- Northern Valley ENT & Facial Plastics
- Ray Anthony Northern, DPT
- Northland Hearing Centers, Inc.
- Bianka Andrea Northland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.