Active NPI
Fan Yang, M.D.
- Internal Medicine Physician
- Flushing, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 279258
- Practice address
- 4235 Main St Ste 3C
Flushing, NY 11355-3969 - Phone
- (914) 282-0843
- NPI assigned
- Feb 1, 2012
- Last updated
- Mar 17, 2018
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 053358 | CT | |
| Internal Medicine Physician | 207R00000X | E-10489 | AR | |
| Internal Medicine Physician | 207R00000X | 279258 | NY | Primary |
Addresses
Primary practice location
4235 Main St Ste 3C
Flushing, NY 11355-3969
Mailing address
2520 Valley Park Dr
Little Rock, AR 72212-2788
Other practice location 1
16 Guion Pl
New Rochelle, NY 10801-5502
Phone (914) 632-5000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, AR, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
217 Grand St
Suite 401
New York, NY 10013-4396
Phone (212) 965-1380
4235 Main St
Flushing, NY 11355-3969
8686 Bay Pkwy
Suite M1
Brooklyn, NY 11214-5193
Phone (718) 372-0888
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 053358 | CT | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Saline Clinics LLC | Internal Medicine | Current | Accepting new patients |
| Hospitalist Medicine Physicians of Texas, PLLC | Internal Medicine | Current | Accepting new patients |
| Chinatown True Care Medical PLLC | Internal Medicine | Current | Accepting new patients |
Locations
1 Medical Park Dr
Bryant, AR 72015
Phone (501) 776-6000
757 60th St
Ste 1
Brooklyn, NY 11220
Phone (718) 567-8899
4235 Main St
Ste 3C
Flushing, NY 11355
Phone (718) 673-2318
4235 Main St
Ste 3E
Flushing, NY 11355
Phone (718) 886-5068
217 Grand St
Ste 401
New York, NY 10013
Phone (212) 390-1830
5410 Maryland Way
Ste 300
Brentwood, TN 37027
Phone (615) 377-1674
1500 S Main St
Ft Worth, TX 76104
Phone (817) 921-3431
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
Interoperability endpoints
- https://api.platform.athenahealth.com/16686/brand/1/csg/1/fhir/r4
Organizations & group practices 4
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.
-
- Internal Medicine Physician
- New York, NY
- NPI 1912567884
-
- Internal Medicine Physician
- Humble, TX
- NPI 1629307095
-
- Internal Medicine Physician
- Little Rock, AR
- NPI 1740797422
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1328054400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1629340948",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2520 VALLEY PARK DR",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722122788"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4235 MAIN ST STE 3C",
"city": "FLUSHING",
"state": "NY",
"postal_code": "113553969",
"telephone_number": "914-282-0843"
}
],
"practiceLocations": [
{
"address_1": "16 Guion Pl",
"address_purpose": "LOCATION",
"city": "New Rochelle",
"state": "NY",
"postal_code": "108015502",
"country_code": "US",
"telephone_number": "914-632-5000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "YANG",
"first_name": "FAN",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-02-01",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CT",
"license": "053358",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "AR",
"license": "E-10489",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "279258",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Flushing, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.