Active NPI
Yang Yang, RD
- Registered Dietitian
- Forest Hills, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 86023660
- Practice address
- 6841 Clyde St Apt a
Forest Hills, NY 11375-5037 - Phone
- (916) 214-2923
- NPI assigned
- Jul 27, 2021
- Last updated
- Jul 27, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nutrition Education Nutritionist | 133NN1002X | 86023660 | NY | |
| Registered Dietitian | 133V00000X | 86023660 | NY | Primary |
| Pediatric Nutrition Registered Dietitian | 133VN1004X | 86023660 | NY | |
| Pediatric Critical Care Nutrition Registered Dietitian | 133VN1401X | 86023660 | NY |
Addresses
Primary practice location
6841 Clyde St Apt a
Forest Hills, NY 11375-5037
Mailing address
6841 Clyde St Apt a
Forest Hills, NY 11375-5037
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | EPIC | Other |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 86023660 | NY | MD | Nutrition Education Nutritionist |
| 009138 | NY | MD | Occupational Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Shore-Lij Medical PC | Current | Accepting new patients |
Locations
10201 66th Rd
Forest Hills, NY 11375
Phone (718) 830-4091
300 Community Dr
Manhasset, NY 11030
1991 Marcus Ave
Ste M100
New Hyde Park, NY 11042
Phone (516) 472-3650
972 Brush Hollow Rd
Westbury, NY 11590
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba NHPP Cardiology at Great Neck
- Urology Physician
- Great Neck, NY
- NPI 1053688572
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1627344000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1627344000000",
"number": "1578236550",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6841 CLYDE ST APT A",
"city": "FOREST HILLS",
"state": "NY",
"postal_code": "113755037"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6841 CLYDE ST APT A",
"city": "FOREST HILLS",
"state": "NY",
"postal_code": "113755037",
"telephone_number": "916-214-2923"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YANG",
"first_name": "YANG",
"credential": "RD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-07-27",
"last_updated": "2021-07-27",
"certification_date": "2021-07-25",
"status": "A"
},
"taxonomies": [
{
"code": "133NN1002X",
"taxonomy_group": "",
"desc": "Nutritionist, Nutrition, Education",
"state": "NY",
"license": "86023660",
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NY",
"license": "86023660",
"primary": true
},
{
"code": "133VN1004X",
"taxonomy_group": "",
"desc": "Dietitian, Registered, Nutrition, Pediatric",
"state": "NY",
"license": "86023660",
"primary": false
},
{
"code": "133VN1401X",
"taxonomy_group": "",
"desc": "Dietitian, Registered, Nutrition, Pediatric Critical Care",
"state": "NY",
"license": "86023660",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "EPIC",
"affiliation": "N",
"endpointDescription": "EMR",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "PATIENT CARE",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "PATIENT CARE",
"address_1": "6841 Clyde St Apt A",
"city": "Forest Hills",
"state": "NY",
"country_code": "US",
"postal_code": "113755037",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Forest Hills, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.