Jean Yang MD PC

Primary specialty

SpecialistTaxonomy code 174400000X

License

208955 Issued in NY

Legal business name

JEAN YANG MD PC

Practice address

153 Jericho Tpke
Unit B
Mineola, NY 11501-1706

Phone

(516) 873-0200

Fax

(516) 873-0243

NPI assigned

Mar 2, 2011

Last updated

Mar 2, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Laura Desimone

Title

Office Manager

Phone

(516) 873-0200

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY2 enrollments

Enrollment records 2

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Jean Jinqui Yang, M.D.

  • Specialist
  • Mineola, NY
  • NPI 1114977733

  O20100930071706

  Same enrollment

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jean Jinqui Yang, M.D.

  • Specialist
  • Mineola, NY
  • NPI 1114977733
  Medicare reassignment NPD

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

{
    "created_epoch": "1299024000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299024000000",
    "number": "1619275518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "153 JERICHO TPKE",
            "address_2": "UNIT B",
            "city": "MINEOLA",
            "state": "NY",
            "postal_code": "115011706",
            "telephone_number": "516-873-0200",
            "fax_number": "516-873-0243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "153 JERICHO TPKE",
            "address_2": "UNIT B",
            "city": "MINEOLA",
            "state": "NY",
            "postal_code": "115011706",
            "telephone_number": "516-873-0200",
            "fax_number": "516-873-0243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEAN YANG MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-02",
        "last_updated": "2011-03-02",
        "status": "A",
        "authorized_official_last_name": "DESIMONE",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "516-873-0200"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "208955",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abha Japi, MD
• Patrick T Jasinski, M.D.
• Sylwia Jasinski, M.D.
• Herbert Jaspan, M.D.
• Harneet Jaswal, DPM
• Macha Jean-Pierre, NP
• Danielle Jean
• Melissa Jennings, L.C.S.W.-R
• Jerrold M Gorski MD PC
• Jesus Bless Foundation Inc

• Specialist in Mineola, NY
• Providers in Mineola, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2011; 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.

Verify at the official NPI Registry.