Individual provider Active NPI

John Henry Y Pang, MD

  • Plastic Surgery Physician
  • San Francisco, CA
National Provider Identifier
1811223514
Registry record updated May 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
A175444 Issued in CA
Practice address
2299 Post St Ste 207
San Francisco, CA 94115-3473
Phone
(415) 530-5335
NPI assigned
Oct 30, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 31, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X 292030 NY
Plastic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208200000X A175444 CA Primary

Addresses

Primary practice location

2299 Post St Ste 207
San Francisco, CA 94115-3473

Mailing address

2299 Post St Ste 207
San Francisco, CA 94115-3473

Other practice location 1

5 E 98th St Fl 15
New York, NY 10029-6501
Phone (212) 241-5873

Other practice location 2

5401 Old York Rd
Philadelphia, PA 19141-3030
Phone (215) 456-3443

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
I20180911001590 NY Practitioner - Plastic and Reconstructive Surgery 8527318674 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A175444CAMDPlastic Surgery Physician
292030NYMDPlastic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Icahn School of Medicine at Mount Sinai Multi-Specialty CurrentSince Aug 1, 2018 Accepting new patients
Icahn School of Medicine at Mount Sinai Multi-Specialty Current Accepting new patients
Icahn School of Medicine at Mount Sinai CurrentSince Aug 1, 2018 Accepting new patients
Icahn School of Medicine at Mount Sinai Multi-Specialty PastSince Jul 25, 2019 Accepting new patients
Mount Sinai School of Medicine Multi-Specialty PastSince Jul 25, 2019 Accepting new patients

Locations

150 E 42nd St
New York, NY 10017
Phone (212) 661-8139

5 E 98th St
Fl 15
New York, NY 10029
Phone (212) 241-5871

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": "1256860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717113600000",
    "number": "1811223514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2299 POST ST STE 207",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941153473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2299 POST ST STE 207",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941153473",
            "telephone_number": "415-530-5335"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5 E 98th St Fl 15",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100296501",
            "country_code": "US",
            "telephone_number": "212-241-5873",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5401 Old York Rd",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191413030",
            "country_code": "US",
            "telephone_number": "215-456-3443",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PANG",
        "first_name": "JOHN HENRY",
        "middle_name": "Y",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-10-30",
        "last_updated": "2024-05-31",
        "certification_date": "2024-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "NY",
            "license": "292030",
            "primary": false
        },
        {
            "code": "208200000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Plastic Surgery",
            "state": "CA",
            "license": "A175444",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.