Active NPI
John G. Yuan M.D., P.C.
- Vascular Surgery Physician
- Manhasset, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Surgery Physician
- Legal business name
- JOHN G. YUAN M.D., P.C.
- Practice address
- 1129 Northern Blvd Ste 307
Manhasset, NY 11030-3022 - Phone
- (516) 498-3800
- NPI assigned
- Jun 2, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- John G Yuan, M.D.
- Title
- President
- Phone
- (516) 498-3800
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Vascular Surgery Physician | 2086S0129X | Primary |
Addresses
Primary practice location
1129 Northern Blvd Ste 307
Manhasset, NY 11030-3022
Mailing address
1129 Northern Blvd Ste 307
Manhasset, NY 11030-3022
Phone (516) 498-3800
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01864557 | Medicaid | NY |
Other names 1
- ADVANCED VASCULAR SURGICAL CARE
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
277 Northern Blvd
Ste 308
Great Neck, NY 11021
Phone (516) 498-3800
1129 Northern Blvd
Ste 307
Manhasset, NY 11030
Phone (516) 498-3800
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Vascular Surgery Physician
- Manhasset, NY
- NPI 1336163336
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1212364800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1380153600000",
"number": "1730348194",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1129 NORTHERN BLVD STE 307",
"city": "MANHASSET",
"state": "NY",
"postal_code": "110303022",
"telephone_number": "516-498-3800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1129 NORTHERN BLVD STE 307",
"city": "MANHASSET",
"state": "NY",
"postal_code": "110303022",
"telephone_number": "516-498-3800"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JOHN G. YUAN M.D., P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2008-06-02",
"last_updated": "2013-09-26",
"status": "A",
"authorized_official_last_name": "YUAN",
"authorized_official_first_name": "JOHN",
"authorized_official_middle_name": "G",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "516-498-3800",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "2086S0129X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Surgery, Vascular Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01864557",
"state": "NY"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "ADVANCED VASCULAR SURGICAL CARE",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Manhasset, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.