Organization Active NPI

Ly Family Medicine Elmhurst

  • Family Medicine Physician
  • Elmhurst, NY
National Provider Identifier
1508738659
Registry record updated Sep 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
LY FAMILY MEDICINE ELMHURST
Practice address
4502 82ND St
Elmhurst, NY 11373-3598
Phone
(718) 779-2248
Fax
(718) 779-2448
NPI assigned
Sep 18, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2025

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

Authorized official

Name
Dr. Liyan Yao, MDNPI 1427799832
Title
Owner
Phone
(631) 882-1689

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
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

4502 82ND St
Elmhurst, NY 11373-3598

Mailing address

36 Hilltop Dr
Syosset, NY 11791-2003
Phone (631) 882-1689

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1758153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758153600000",
    "number": "1508738659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 HILLTOP DR",
            "city": "SYOSSET",
            "state": "NY",
            "postal_code": "117912003",
            "telephone_number": "631-882-1689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4502 82ND ST",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "113733598",
            "telephone_number": "718-779-2248",
            "fax_number": "718-779-2448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LY FAMILY MEDICINE ELMHURST",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-18",
        "last_updated": "2025-09-18",
        "certification_date": "2025-09-18",
        "status": "A",
        "authorized_official_last_name": "YAO",
        "authorized_official_first_name": "LIYAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "631-882-1689",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elmhurst, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2025; 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.