NPIMap

Organization Active NPI

Jane Yang Dental PC

  • General Practice Dentistry
  • New York, NY
National Provider Identifier
1497940936
Registry record updated Apr 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
JANE YANG DENTAL PC
Practice address
53 Elizabeth St
Floor 2
New York, NY 10013-4617
Phone
(212) 219-8182
Fax
(212) 219-2685
NPI assigned
Sep 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2016

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

Authorized official

Name
Dr. Jane YangNPI 1437172251
Title
President
Phone
(212) 219-8182

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

53 Elizabeth St
Floor 2
New York, NY 10013-4617

Mailing address

53 Elizabeth St
Floor 2
New York, NY 10013-4617
Phone (212) 219-8182

Other identifiers 10

IdentifierTypeStateIssuer
03242399MedicaidNY
03749557MedicaidNY
03741480MedicaidNY
03124632MedicaidNY
03153486MedicaidNY
01981617MedicaidNY
02758538MedicaidNY
03572869MedicaidNY
04225430MedicaidNY
04242288MedicaidNY

National Provider Directory

National Provider Directory

Locations

53 Elizabeth St
Fl 2
New York, NY 10013
Phone (212) 219-8182

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1189123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461283200000",
    "number": "1497940936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "53 ELIZABETH ST",
            "address_2": "FLOOR 2",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100134617",
            "telephone_number": "212-219-8182",
            "fax_number": "212-219-2685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "53 ELIZABETH ST",
            "address_2": "FLOOR 2",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100134617",
            "telephone_number": "212-219-8182",
            "fax_number": "212-219-2685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JANE YANG DENTAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-07",
        "last_updated": "2016-04-22",
        "status": "A",
        "authorized_official_last_name": "YANG",
        "authorized_official_first_name": "JANE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "212-219-8182",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03242399",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03749557",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03741480",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03124632",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03153486",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01981617",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02758538",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03572869",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04225430",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04242288",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.