NPIMap

Organization Active NPI

Bennett C. Yang, M.D., P.C.

  • Specialist
  • Rockville, MD
National Provider Identifier
1619159910
Registry record updated Nov 29, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
D54936 Issued in MD
Legal business name
BENNETT C. YANG, M.D., P.C.
Practice address
3203 Tower Oaks Blvd
Ste 200
Rockville, MD 20852-4258
Phone
(301) 656-6398
Fax
(301) 754-2503
NPI assigned
Nov 29, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2007

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

Authorized official

Name
Angela Shemuha
Title
Practice Manager
Phone
(301) 656-6398

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X D54936 MD Primary

Addresses

Primary practice location

3203 Tower Oaks Blvd
Ste 200
Rockville, MD 20852-4258

Mailing address

3203 Tower Oaks Blvd
Ste 200
Rockville, MD 20852-4258
Phone (301) 656-6398

Other identifiers 1

IdentifierTypeStateIssuer
G01250OtherMEDICARE PROVIDER ID

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1196294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196294400000",
    "number": "1619159910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3203 TOWER OAKS BLVD",
            "address_2": "STE 200",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208524258",
            "telephone_number": "301-656-6398",
            "fax_number": "301-754-2503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3203 TOWER OAKS BLVD",
            "address_2": "STE 200",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208524258",
            "telephone_number": "301-656-6398",
            "fax_number": "301-754-2503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BENNETT C. YANG, M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-29",
        "last_updated": "2007-11-29",
        "status": "A",
        "authorized_official_last_name": "SHEMUHA",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "301-656-6398"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "MD",
            "license": "D54936",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PROVIDER ID",
            "identifier": "G01250",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2007; 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.