Individual provider Active NPI

Benjamin Lingshaw Yam, M.D.

  • Vascular & Interventional Radiology Physician
  • Hackensack, NJ
National Provider Identifier
1962716480
Registry record updated Apr 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
25MA09646500 Issued in NJ
Practice address
165 Main St
Hackensack, NJ 07601-7124
Phone
(516) 851-4211
NPI assigned
Jul 27, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 20, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular & Interventional Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0204X 278333 NY
Vascular & Interventional Radiology Physician 2085R0204X 25MA09646500 NJ Primary

Addresses

Primary practice location

165 Main St
Hackensack, NJ 07601-7124

Mailing address

168 Overlook Ter
Roslyn Heights, NY 11577-1438
Phone (516) 851-4211

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20160621002775 NY Practitioner - Interventional RadiologyPractitioner - Diagnostic Radiology 2163713686 Reassigns benefits to 7 organizations
I20190411002896 NJ Practitioner - Interventional RadiologyPractitioner - Diagnostic Radiology 2163713686 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional RadiologyAlso: Diagnostic Radiology
Education
State University of New York at Stony Brook, School of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Valley Physician Services PCGroup PAC ID 3577857333, 593 clinicians

Practice addresses (Care Compare)

165 Main St
Hackensack, NJ 07601-7124
Phone (201) 870-0033

168 Overlook Ter
Roslyn Heights, NY 11577-1438
Phone (201) 447-8000

Hospital & facility affiliations

  • Valley Hospital Hospital, Paramus, NJ, CCN 310012

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA09646500NJMDVascular & Interventional Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
CHS Physician Partners, PC Single Specialty Current Accepting new patients
Empire State Radiology P C Single Specialty CurrentSince Apr 5, 2020 Accepting new patients
Valley Physician Services PC Single Specialty CurrentSince Oct 12, 2025 Accepting new patients
CHS Physician Partners, P.C Single Specialty CurrentSince Jan 1, 2021 Accepting new patients
Radiology Associates of Ridgewood P a Single Specialty CurrentSince Aug 1, 2020 Accepting new patients
Laser and Vein Treatment Center Single Specialty CurrentSince Oct 19, 2019 Accepting new patients
St. Francis Cardiac Prevention Services PC Single Specialty CurrentSince Jan 1, 2017 Accepting new patients
VR Physician for Vein Restoration CurrentSince Mar 1, 2017 Accepting new patients
Central Radiology, PC Single Specialty CurrentSince Dec 4, 2016 Accepting new patients
CHS Physician Partners, PC Single Specialty Current Accepting new patients
Radiance Medicine LLC Single Specialty CurrentSince Feb 15, 2022 Accepting new patients
VR Physician for Vein Restoration Single Specialty CurrentSince Mar 1, 2017 Accepting new patients
CHS Physician Partners, PC Single Specialty CurrentSince Jan 1, 2021 Accepting new patients
Center for Vein Restoration CT LLC Single Specialty Past Accepting new patients

Locations (25 of 26)

7474 Greenway Center Dr
Ste 1000
Greenbelt, MD 20770
Phone (240) 965-3271

165 Main St
Hackensack, NJ 07601
Phone (201) 870-0033

223 N Van Dien Ave
Ridgewood, NJ 07450
Phone (201) 447-8417

20 Franklin Tpke
Waldwick, NJ 07463
Phone (201) 445-3040

4295 Hempstead Tpke
Bethpage, NY 11714
Phone (516) 520-2250

3250 Westchester Ave
Ste 201
Bronx, NY 10461
Phone (347) 675-8903

500 Commack Rd
Commack, NY 11725
Phone (516) 809-9666

13710 Northern Blvd
Flushing, NY 11354
Phone (718) 888-9180

2200 Northern Blvd
Greenvale, NY 11548
Phone (516) 482-0080

2200 Northern Blvd
Ste 118
Greenvale, NY 11548
Phone (516) 563-7910

2200 Northern Blvd
Ste 100C
Greenvale, NY 11548
Phone (516) 325-7400

510 Hicksville Rd
Massapequa, NY 11758
Phone (516) 729-2626

4 Ohio Dr
New Hyde Park, NY 11042
Phone (516) 519-8260

16 Guion Pl
New Rochelle, NY 10801
Phone (914) 365-3680

200 Belle Terre Rd
Prt Jefferson, NY 11777
Phone (631) 474-6000

1000 N Village Ave
Rockville Ctr, NY 11570
Phone (516) 705-1012

1000 N Village Ave
#13202
Rockville Ctr, NY 11570

100 Port Washington Blvd
Roslyn, NY 11576
Phone (516) 562-6385

100 Port Washington Blvd
Ste G3
Roslyn, NY 11576
Phone (516) 627-4800

700 White Plains Rd
Ste 241
Scarsdale, NY 10583
Phone (914) 472-2222

50 Route 25A
Smithtown, NY 11787
Phone (631) 465-6225

2500 Route 347
Stony Brook, NY 11790
Phone (631) 689-7700

2500 Nesconset Hwy
Bldg 7
Stony Brook, NY 11790
Phone (516) 751-3322

2500 Nesconset Hwy
Bldg 7D
Stony Brook, NY 11790
Phone (631) 751-3322

1000 Montauk Hwy
West Islip, NY 11795
Phone (516) 705-2689

Networks

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

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: benjamin.yammd.p5@direct.cvr.nextgenshare.com

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 1

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": "1280188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650412800000",
    "number": "1962716480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "168 OVERLOOK TER",
            "city": "ROSLYN HEIGHTS",
            "state": "NY",
            "postal_code": "115771438",
            "telephone_number": "516-851-4211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "165 MAIN ST",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076017124",
            "telephone_number": "516-851-4211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YAM",
        "first_name": "BENJAMIN",
        "middle_name": "LINGSHAW",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-07-27",
        "last_updated": "2022-04-20",
        "certification_date": "2022-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "NY",
            "license": "278333",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "NJ",
            "license": "25MA09646500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hackensack, NJ

Sources for this page

Verify at the official NPI Registry.