Active NPI
Lin Yang, DDS, MS
- Dentist
- Massapequa Park, NY
National Provider Identifier
1639810971
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 063169-01
- Practice address
- 5060 Sunrise Hwy
Massapequa Park, NY 11762-2905 - Phone
- (516) 619-9770
- NPI assigned
- Apr 1, 2022
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 063169-01 | NY | Primary |
Addresses
Primary practice location
5060 Sunrise Hwy
Massapequa Park, NY 11762-2905
Mailing address
21 Williams Ave
Syosset, NY 11791-5006
Phone (917) 370-8227
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 063169-01 | NY | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1648771200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719273600000",
"number": "1639810971",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21 WILLIAMS AVE",
"city": "SYOSSET",
"state": "NY",
"postal_code": "117915006",
"telephone_number": "917-370-8227"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5060 SUNRISE HWY",
"city": "MASSAPEQUA PARK",
"state": "NY",
"postal_code": "117622905",
"telephone_number": "516-619-9770"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YANG",
"first_name": "LIN",
"credential": "DDS, MS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-04-01",
"last_updated": "2024-06-25",
"certification_date": "2024-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NY",
"license": "063169-01",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Massapequa Park, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.