Active NPI
Bryan Sang Yi, MD, MPH
- Diagnostic Radiology Physician
- East Brunswick, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 25MA09502600
- Practice address
- 483 Cranbury Rd
East Brunswick, NJ 08816-3610 - Phone
- (732) 390-0040
- Fax
- (732) 390-1856
- NPI assigned
- May 29, 2008
- Last updated
- Jan 18, 2022
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 25MA09502600 | NJ | Primary |
Addresses
Primary practice location
483 Cranbury Rd
East Brunswick, NJ 08816-3610
Mailing address
579A Cranbury Rd
East Brunswick, NJ 08816-5426
Phone (732) 390-0040
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 819931 | Medicaid | AZ |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | https://careepiceast.kp.org:14430/Interconnect-prodgam/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ceq | Health Information Exchange (HIE) | Permanente Medical Group |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- New York Medical College, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3495 Piedmont Rd NE
Atlanta, GA 30305-1729
Phone (404) 364-7206
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Southeast Permanente Medical Group | Family Medicine | Current | Accepting new patients |
| Jersey Shore Radiology Associates, P.a. | Diagnostic Radiology | Past | Accepting new patients |
Locations
2525 Cumberland Pkwy SE
Atlanta, GA 30339
Phone (770) 431-4145
3495 Piedmont Rd NE
Bldg 9
Atlanta, GA 30305
Phone (404) 364-7000
3650 Steve Reynolds Blvd
Duluth, GA 30096
Phone (770) 931-6010
2400 Mount Zion Pkwy
Jonesboro, GA 30236
Phone (770) 603-3645
455 Philip Blvd
Ste 130
Lawrenceville, GA 30046
Phone (678) 985-5000
1125 Town Center Village Dr
McDonough, GA 30253
Phone (678) 583-6557
20 Glenlake Pkwy
Sandy Springs, GA 30328
Phone (770) 677-6247
200 Crescent Center Pkwy
Tucker, GA 30084
Phone (770) 496-3414
Organizations & group practices 2
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
- Atlanta, GA
- NPI 1245266956
Family Medicine
-
- Diagnostic Radiology Physician
- Neptune, NJ
- NPI 1528063674
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1212019200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1642464000000",
"number": "1689832248",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "579A CRANBURY RD",
"city": "EAST BRUNSWICK",
"state": "NJ",
"postal_code": "088165426",
"telephone_number": "732-390-0040",
"fax_number": "732-390-1856"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "483 CRANBURY RD",
"city": "EAST BRUNSWICK",
"state": "NJ",
"postal_code": "088163610",
"telephone_number": "732-390-0040",
"fax_number": "732-390-1856"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YI",
"first_name": "BRYAN",
"middle_name": "SANG",
"name_prefix": "Dr.",
"credential": "MD, MPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-05-29",
"last_updated": "2022-01-18",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "NJ",
"license": "25MA09502600",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "819931",
"state": "AZ"
}
],
"endpoints": [
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "https://careepiceast.kp.org:14430/Interconnect-prodgam/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ceq",
"affiliation": "Y",
"endpointDescription": "Carequality",
"affiliationName": "Permanente Medical Group",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "C-CDA",
"address_1": "20 Glenlake Pkwy",
"city": "Atlanta",
"state": "GA",
"country_code": "US",
"postal_code": "303283473",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in East Brunswick, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2022; 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.