Individual provider Active NPI

Fan Yang, M.D.

  • Internal Medicine Physician
  • Flushing, NY
National Provider Identifier
1629340948
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
279258 Issued in NY
Practice address
4235 Main St Ste 3C
Flushing, NY 11355-3969
Phone
(914) 282-0843
NPI assigned
Feb 1, 2012
Last updated
Mar 17, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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, TX3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20160721000833 NY Practitioner - Internal Medicine 9830318872 Reassigns benefits to 1 organization
I20180314000790 AR Practitioner - Internal Medicine 9830318872 Reassigns benefits to 1 organization
I20181031002720 TX Practitioner - Internal Medicine 9830318872 Reassigns benefits to 1 organization

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
Chinatown True Care Medical PLLCGroup PAC ID 2163859760, 245 clinicians

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

LicenseStateTypeSpecialty
053358CTMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Saline Clinics LLC Internal Medicine CurrentSince Feb 5, 2018 Accepting new patients
Hospitalist Medicine Physicians of Texas, PLLC Internal Medicine CurrentSince Aug 9, 2018 Accepting new patients
Chinatown True Care Medical PLLC Internal Medicine CurrentSince Nov 23, 2022 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

  • FHIR API: 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.

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

Verify at the official NPI Registry.