Individual provider Active NPI

Marc Yland, MD

  • Interventional Pain Medicine Physician
  • Stony Brook, NY
National Provider Identifier
1477556025
Registry record updated Oct 26, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
185247 Issued in NY
Practice address
2500 Nesconset Hwy
BLDG 24C
Stony Brook, NY 11790-2598
Phone
(631) 941-0187
Fax
(631) 689-3814
NPI assigned
May 27, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 26, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 185247 NY
Interventional Pain Medicine Physician 208VP0014X 185247 NY Primary

Addresses

Primary practice location

2500 Nesconset Hwy
BLDG 24C
Stony Brook, NY 11790-2598

Mailing address

2500 Nesconset Hwy
BLDG 24C
Stony Brook, NY 11790-2598
Phone (631) 941-0187

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
I20041112001018 NY Practitioner - Interventional Pain ManagementPractitioner - Anesthesiology 4789648437 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Marc J. Yland, M.D. P.C. CurrentSince Sep 1, 1999 Accepting new patients

Locations

196 E Main St
Huntington, NY 11743
Phone (631) 271-8030

2500 Nesconset Hwy
Bldg 24C
Stony Brook, NY 11790
Phone (631) 521-5835

Networks

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

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": "1117152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193356800000",
    "number": "1477556025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 NESCONSET HWY",
            "address_2": "BLDG 24C",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "117902598",
            "telephone_number": "631-941-0187",
            "fax_number": "631-689-3814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 NESCONSET HWY",
            "address_2": "BLDG 24C",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "117902598",
            "telephone_number": "631-941-0187",
            "fax_number": "631-689-3814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YLAND",
        "first_name": "MARC",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-05-27",
        "last_updated": "2007-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NY",
            "license": "185247",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "NY",
            "license": "185247",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stony Brook, NY

Sources for this page

Verify at the official NPI Registry.