Organization Active NPI

New York Advanced Cardiac & Vascular Services, PC

  • Medical Specialty Clinic/Center
  • Brooklyn, NY
National Provider Identifier
1912290057
Registry record updated May 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
227161 Issued in NY
Legal business name
NEW YORK ADVANCED CARDIAC & VASCULAR SERVICES, PC
Practice address
839 58TH St
6TH Floor
Brooklyn, NY 11220-3679
Phone
(917) 386-4799
Fax
(212) 580-7513
NPI assigned
May 24, 2011
Last updated
May 24, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 24, 2011

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

Authorized official

Name
Dr. Yi-Ming Yang, M.D.
Title
Medical Director
Phone
(917) 386-4799

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X 227161 NY Primary

Addresses

Primary practice location

839 58TH St
6TH Floor
Brooklyn, NY 11220-3679

Mailing address

100 Riverside Blvd
Suite 5a
New York, NY 10069-0401
Phone (917) 386-4799

Other identifiers 1

IdentifierTypeStateIssuer
02597648MedicaidNY

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1306195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1306195200000",
    "number": "1912290057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 RIVERSIDE BLVD",
            "address_2": "SUITE 5A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100690401",
            "telephone_number": "917-386-4799",
            "fax_number": "212-580-7513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "839 58TH ST",
            "address_2": "6TH FLOOR",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112203679",
            "telephone_number": "917-386-4799",
            "fax_number": "212-580-7513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW YORK ADVANCED CARDIAC & VASCULAR SERVICES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-24",
        "last_updated": "2011-05-24",
        "status": "A",
        "authorized_official_last_name": "YANG",
        "authorized_official_first_name": "YI-MING",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "917-386-4799",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "NY",
            "license": "227161",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02597648",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.