Individual provider Active NPI

Aimin Ouyang, RPA-C

  • Physician Assistant
  • Brooklyn, NY
National Provider Identifier
1962928986
Registry record updated Apr 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
020940 Issued in NY
Practice address
5521 8TH Ave Unit 3C
Brooklyn, NY 11220-3515
Phone
(718) 437-3855
NPI assigned
Aug 22, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 020940 NY Primary

Addresses

Primary practice location

5521 8TH Ave Unit 3C
Brooklyn, NY 11220-3515

Mailing address

5521 8TH Ave Unit 3C
Brooklyn, NY 11220-3515
Phone (718) 437-3855

Other practice location 1

8611 34th Ave Apt 2E
Jackson Heights, NY 11372-3321
Phone (917) 705-0608

Other practice location 2

1961 86th St
Brooklyn, NY 11214-3103
Phone (718) 437-3855

Other identifiers 1

IdentifierTypeStateIssuer
830091165OtherNYDRIVER LICENSE

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220330000582 NY Practitioner - Physician Assistant 6507252665 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Organizations & group practices 1

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": "1503360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712361600000",
    "number": "1962928986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5521 8TH AVE UNIT 3C",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112203515",
            "telephone_number": "718-437-3855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5521 8TH AVE UNIT 3C",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112203515",
            "telephone_number": "718-437-3855"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8611 34th Ave Apt 2E",
            "address_purpose": "LOCATION",
            "city": "Jackson Heights",
            "state": "NY",
            "postal_code": "113723321",
            "country_code": "US",
            "telephone_number": "917-705-0608",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1961 86th St",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112143103",
            "country_code": "US",
            "telephone_number": "718-437-3855",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OUYANG",
        "first_name": "AIMIN",
        "credential": "RPA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-08-22",
        "last_updated": "2024-04-06",
        "certification_date": "2024-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "020940",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DRIVER LICENSE",
            "identifier": "830091165",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.