Individual provider Active NPI

Henry Jiann Cherng Yan, MD

  • Internal Medicine Physician
  • Flushing, NY
National Provider Identifier
1750533428
Registry record updated Jun 15, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
250203 Issued in NY
Practice address
41-40 Union Street
#2
Flushing, NY 11355-2540
Phone
(718) 886-9098
Fax
(718) 886-2086
NPI assigned
Oct 14, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 250203 NY Primary

Addresses

Primary practice location

41-40 Union Street
#2
Flushing, NY 11355-2540

Mailing address

41-40 Union Street
#2
Flushing, NY 11355-2540
Phone (718) 886-9098

Other identifiers 1

IdentifierTypeStateIssuer
03079536MedicaidNY

Other names 1

  • Jiann Yan Former name

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
I20090319000090 NY Practitioner - Internal Medicine 0143387217 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4140 Union St
Suite 2
Flushing, NY 11355-2540
Phone (718) 886-9098

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Newyork-Presbyterian/Queens CurrentSince Sep 1, 2008 Accepting new patients
Newyork-Presbyterian-Queens CurrentSince Sep 1, 2008 Accepting new patients
Syosset Medical Service, PLLC Past Accepting new patients

Locations

17561 Hillside Ave
Ste 402
Jamaica, NY 11432
Phone (718) 670-1021

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989

Interoperability endpoints

  • Direct secure messaging: hty9001@direct.nyp.org
  • Direct secure messaging: hyan@1657.mdlanddirect.com

Organizations & group practices 4

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": "1223942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1497484800000",
    "number": "1750533428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41-40 UNION STREET",
            "address_2": "#2",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113552540",
            "telephone_number": "718-886-9098",
            "fax_number": "718-888-6208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41-40 UNION STREET",
            "address_2": "#2",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113552540",
            "telephone_number": "718-886-9098",
            "fax_number": "718-886-2086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YAN",
        "first_name": "HENRY",
        "middle_name": "JIANN CHERNG",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-10-14",
        "last_updated": "2017-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "250203",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03079536",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JIANN",
            "last_name": "YAN",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Flushing, NY

Sources for this page

Verify at the official NPI Registry.