Active NPI
Jeff Fu-Lin Yang, M.D.
- Internal Medicine Physician
- Staten Island, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 278692
- Practice address
- 2455 Hylan Blvd
Staten Island, NY 10306-3146 - Phone
- (718) 362-6680
- NPI assigned
- Sep 2, 2012
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 278692 | NY | Primary |
| Internal Medicine Physician | 207R00000X | 25MA09847500 | NJ |
Addresses
Primary practice location
2455 Hylan Blvd
Staten Island, NY 10306-3146
Mailing address
366 5TH Ave # 4F
New York, NY 10001-2211
Phone (718) 290-9807
Other practice location 1
384 Grand St
New York, NY 10002-3915
Phone (718) 888-8879
Other practice location 2
155 Bay St Apt 2C
Staten Island, NY 10301-2508
Phone (718) 290-9788
Other practice location 3
366 5th Ave Fl 4
New York, NY 10001-2241
Phone (718) 290-9807
Other practice location 4
1545 Atlantic Ave
Brooklyn, NY 11213-1122
Phone (718) 613-7510
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 04685416 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ, NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170118001881 | NJ | Practitioner - Internal Medicine | 2163704693 | |
| I20180223000410 | NY | Practitioner - Internal Medicine | 2163704693 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Chinatown True Care Medical PLLC
Practice addresses (Care Compare)
839 58TH St
Apt 5
Brooklyn, NY 11220-3679
Phone (347) 770-8009
Hospital & facility affiliations
- Unity Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 278692 | NY | MD | Internal Medicine Physician |
Practice roles (3 of 7)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chinatown True Care Medical PLLC | Internal Medicine | Current | Accepting new patients |
| Delphi Hospitalist Services LLC | Current | Accepting new patients | |
| Stat Medical Services of Ny PLLC | Internal Medicine | Past | Accepting new patients |
Locations
4235 Main St
Ste 3E
Flushing, NY 11355
Phone (718) 886-5068
366 5th Ave
Fl 4
New York, NY 10001
Phone (718) 290-9807
139 Centre St
Ste 704
New York, NY 10013
Phone (212) 219-8878
2455 Hylan Blvd
Staten Island, NY 10306
Phone (718) 362-6886
191 N Main St
Wellsville, NY 14895
Phone (585) 593-1100
Networks
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Internal Medicine Physician
- New York, NY
- NPI 1912567884
Internal Medicine, NY
-
- Urgent Care Clinic/Center
- Flushing, NY
- NPI 1609254242
Internal Medicine
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Rochester, NY
- NPI 1336366822
Hospital
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Rochester, NY
- NPI 1689891178
Hospital
-
- Substance Use Disorder Rehabilitation Hospital Unit
- Rochester, NY
- NPI 1730237603
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1346544000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1711065600000",
"number": "1689923948",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "366 5TH AVE # 4F",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100012211",
"telephone_number": "718-290-9807"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2455 HYLAN BLVD",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103063146",
"telephone_number": "718-362-6680"
}
],
"practiceLocations": [
{
"address_1": "384 Grand St",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100023915",
"country_code": "US",
"telephone_number": "718-888-8879",
"fax_number": "833-888-1808",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "155 Bay St Apt 2C",
"address_purpose": "LOCATION",
"city": "Staten Island",
"state": "NY",
"postal_code": "103012508",
"country_code": "US",
"telephone_number": "718-290-9788",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "366 5th Ave Fl 4",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100012241",
"country_code": "US",
"telephone_number": "718-290-9807",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1545 Atlantic Ave",
"address_purpose": "LOCATION",
"city": "Brooklyn",
"state": "NY",
"postal_code": "112131122",
"country_code": "US",
"telephone_number": "718-613-7510",
"fax_number": "718-613-7564",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "YANG",
"first_name": "JEFF",
"middle_name": "FU-LIN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-09-02",
"last_updated": "2024-03-22",
"certification_date": "2024-03-22",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "278692",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NJ",
"license": "25MA09847500",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "04685416",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Staten Island, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2024; 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.