Individual provider Active NPI

Stanley Yang, MD

  • Family Medicine Physician
  • Plattsburgh, NY
National Provider Identifier
1902458391
Registry record updated Nov 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
319379 Issued in NY
Practice address
159 Margaret St Ste 100
Plattsburgh, NY 12901-1874
Phone
(518) 314-3939
NPI assigned
Jul 15, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 10, 2022

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 ProgramGroup: 193400000X SINGLE SPECIALTY GROUP 390200000X
Family Medicine Physician 207Q00000X 319379 NY Primary

Addresses

Primary practice location

159 Margaret St Ste 100
Plattsburgh, NY 12901-1874

Mailing address

159 Margaret St Ste 101
Plattsburgh, NY 12901-1874

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
I20221129001811 NY Practitioner - Family Practice 1153799937 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alice Hyde Medical CenterGroup PAC ID 4082525837, 88 clinicians

Practice addresses (Care Compare)

133 Park St
Malone, NY 12953-1243
Phone (518) 481-2545

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
319379NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Alice Hyde Medical Center Single Specialty CurrentSince Sep 13, 2022 Accepting new patients
Alice Hyde Medical Center Single Specialty Current Accepting new patients
Alice Hyde Medical Center Family Medicine Past Accepting new patients
Alice Hyde Medical Center Past Accepting new patients

Locations

5 Clay St
Malone, NY 12953
Phone (518) 483-0705

969 State Route 11
Moira, NY 12957
Phone (518) 529-7847

Interoperability endpoints

  • Direct secure messaging: syang235982@direct.uvmhealth.org

Ownership & related parties

All facility ownership & control disclosures 6

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Alice Hyde Medical CenterMoira, NY, CCN 333981 Rural health clinic W-2 Managing Employee Oct 1, 2025
Alice Hyde Medical CenterChateaugay, NY, CCN 333980 Rural health clinic W-2 Managing Employee Oct 1, 2025
Alice Hyde Medical CenterFort Covington, NY, CCN 333982 Rural health clinic W-2 Managing Employee Oct 1, 2025
Alice Hyde Medical CenterSaint Regis Falls, NY, CCN 333983 Rural health clinic W-2 Managing Employee Oct 1, 2025
University of Vermont Alice Hyde Medical Center Medical PracticesMalone, NY, CCN 333998 Rural health clinic W-2 Managing Employee Oct 1, 2025
Malone Medical PracticesMalone, NY, CCN 338503 Rural health clinic W-2 Managing Employee Oct 1, 2025

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1563148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668038400000",
    "number": "1902458391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "159 MARGARET ST STE 101",
            "city": "PLATTSBURGH",
            "state": "NY",
            "postal_code": "129011874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "159 MARGARET ST STE 100",
            "city": "PLATTSBURGH",
            "state": "NY",
            "postal_code": "129011874",
            "telephone_number": "518-314-3939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YANG",
        "first_name": "STANLEY",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-07-15",
        "last_updated": "2022-11-10",
        "certification_date": "2022-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "319379",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plattsburgh, NY

Sources for this page

Verify at the official NPI Registry.