Individual provider Active NPI

Guowei Yan, MSW

  • Student in an Organized Health Care Education/Training Program
  • Flushing, NY
National Provider Identifier
1700448305
Registry record updated Jul 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Practice address
14015B Sanford Ave # 2FL
Flushing, NY 11355-2557
Phone
(718) 358-8288
NPI assigned
Jul 3, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Primary

Addresses

Primary practice location

14015B Sanford Ave # 2FL
Flushing, NY 11355-2557

Mailing address

14015B Sanford Ave # 2FL
Flushing, NY 11355-2557

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230608000252 NY Practitioner - Clinical Social Worker 4789041658 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Samuel Field YmandywhaGroup PAC ID 9537154638, 18 clinicians

Practice addresses (Care Compare)

5928 Little Neck Pkwy
Little Neck, NY 11362-2532
Phone (718) 224-0566

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Samuel Field Ym&Ywha CurrentSince May 1, 2023 Accepting new patients
Karat Health, Inc. PastSince May 1, 2023 Accepting new patients
United Cerebral Palsy Assoc of Nys Inc. Past Accepting new patients

Locations

5928 Little Neck Pkwy
Little Neck, NY 11362
Phone (347) 306-0767

5820 Little Neck Pkwy
Little Neck, NY 11362
Phone 64651875842001

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.

NPI Registry JSON

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

{
    "created_epoch": "1562112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562112000000",
    "number": "1700448305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14015B SANFORD AVE # 2FL",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113552557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14015B SANFORD AVE # 2FL",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113552557",
            "telephone_number": "718-358-8288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YAN",
        "first_name": "GUOWEI",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-07-03",
        "last_updated": "2019-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, NY

Sources for this page

Verify at the official NPI Registry.