Individual provider Active NPI

Jeff Fu-Lin Yang, M.D.

  • Internal Medicine Physician
  • Staten Island, NY
National Provider Identifier
1689923948
Registry record updated Mar 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
278692 Issued in NY
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

Updated by the provider on Mar 22, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
04685416MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, NY2 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 2

Enrollment IDStateProvider typePAC IDDetails
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 245 clinicians

Practice addresses (Care Compare)

839 58TH St
Apt 5
Brooklyn, NY 11220-3679
Phone (347) 770-8009

Hospital & facility affiliations

  • Unity Hospital Hospital, Rochester, NY, CCN 330226

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
278692NYMDInternal Medicine Physician

Practice roles (3 of 7)

OrganizationSpecialtyStatusNew patients
Chinatown True Care Medical PLLC Internal Medicine CurrentSince Jan 5, 2021 Accepting new patients
Delphi Hospitalist Services LLC CurrentSince Mar 1, 2023 Accepting new patients
Stat Medical Services of Ny PLLC Internal Medicine PastSince Jan 1, 2024 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.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.