Bai Yan Gong, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

072633-01 Issued in NY

Practice address

6819 Fresh Pond Rd
Ridgewood, NY 11385-5240

Phone

(718) 456-4400

NPI assigned

Aug 7, 2025

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

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.

• Ajs Ridgewood Chemist Inc.

  • Community/Retail Pharmacy
  • Ridgewood, NY
  • NPI 1144642265
  NPD (past)

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

{
    "created_epoch": "1754524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754611200000",
    "number": "1942185236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2719 44TH DR APT 16A",
            "city": "LONG ISLAND CITY",
            "state": "NY",
            "postal_code": "111013052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6819 FRESH POND RD",
            "city": "RIDGEWOOD",
            "state": "NY",
            "postal_code": "113855240",
            "telephone_number": "718-456-4400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONG",
        "first_name": "BAI YAN",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-08-07",
        "last_updated": "2025-08-08",
        "certification_date": "2025-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "072633-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Glenridge Optical Warehouse Outlet Inc.
• Global Ap LLC
• Global Provider Services Inc
• Ryan Edgar Gloetzner, MOTR/L
• Michael Goldman, D.D.S.
• Xinyi Gong, RD
• Leanne Gonzalez, PA
• Good Medical Care, PLLC
• Steven L Goodman, MD
• Vanessa Goris-Sanchez, RPH

• Pharmacist in Ridgewood, NY
• Providers in Ridgewood, NY by specialty
• Pharmacist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2025; 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.