Individual provider Active NPI

Connie Yang, MD

  • Dermatology Physician
  • New York, NY
National Provider Identifier
1700445814
Registry record updated Mar 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
321149 Issued in NY
Practice address
1049 5TH Ave Ste 2B
New York, NY 10028-0115
Phone
(212) 327-2919
Fax
(212) 327-3659
NPI assigned
Jun 12, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Dermatology Physician 207N00000X 321149 NY Primary

Addresses

Primary practice location

1049 5TH Ave Ste 2B
New York, NY 10028-0115

Mailing address

1049 5TH Ave Ste 2B
New York, NY 10028-0115
Phone (212) 327-2919

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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 1

Enrollment IDStateProvider typePAC IDDetails
I20230501002406 NY Practitioner - Dermatology 8022344456 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Boston University School of Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Paul Jarrod Frank MD PCGroup PAC ID 7214015619, 3 clinicians

Practice addresses (Care Compare)

132 Perry St
New York, NY 10014-7810
Phone (212) 327-2919

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions38
Skin biopsy16

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Paul Jarrod Frank MD PC CurrentSince Jun 22, 2023 Accepting new patients
Dermatology Laser and Surgery of Carnegie Hill PLLC Dermatology CurrentSince Feb 13, 2024 Accepting new patients
Dermatology, Laser and Surgery of Flatiron PLLC Dermatology CurrentSince Feb 13, 2024 Accepting new patients
Sherry Shieh, M.D., P.C. Dermatology CurrentSince Feb 13, 2024 Accepting new patients
Laurence S Harris MDPC PastSince Feb 13, 2024 Accepting new patients

Locations

928 Broadway
Ste 204
New York, NY 10010
Phone (212) 982-8229

Organizations & group practices 5

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1560297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709769600000",
    "number": "1700445814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1049 5TH AVE STE 2B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100280115",
            "telephone_number": "212-327-2919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1049 5TH AVE STE 2B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100280115",
            "telephone_number": "212-327-2919",
            "fax_number": "212-327-3659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YANG",
        "first_name": "CONNIE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-12",
        "last_updated": "2024-03-07",
        "certification_date": "2024-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NY",
            "license": "321149",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.