Active NPI
Guang Yan Yao, PA-C
- Physician Assistant
- Elmhurst, NY
National Provider Identifier
1982009478
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 018195
- Practice address
- 4008 Forley St
Elmhurst, NY 11373-1427 - Phone
- (718) 446-0270
- NPI assigned
- Oct 27, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 018195 | NY | Primary |
Addresses
Primary practice location
4008 Forley St
Elmhurst, NY 11373-1427
Mailing address
14712 27TH Ave
Flushing, NY 11354-1435
Phone (347) 368-9226
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 018195 | NY | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New York City Health and Hospitals Corporation | Current | Accepting new patients | |
| New York City Health and Hospitals Corporation | Current | Accepting new patients | |
| Q All Care Medical PC | Past | Accepting new patients | |
| Medical Care for You PC | Physician Assistant | Past | Accepting new patients |
| Island Wide Medical Care PLLC | Past | Accepting new patients |
Locations
7901 Broadway
Flushing, NY 11373
Phone (718) 334-2156
8268 164th St
Jamaica, NY 11432
Phone (718) 883-2929
50 Water St
Fl 3
New York, NY 10004
Organizations & group practices 10
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.
-
- Multi-Specialty Clinic/Center
- Monsey, NY
- NPI 1821210402
-
- Urgent Care Clinic/Center
- Bronx, NY
- NPI 1841607298
-
- Family Medicine Physician
- Flushing, NY
- NPI 1003005083
-
- Internal Medicine Physician
- Forest Hills, NY
- NPI 1760731459
-
- Clinic/Center
- New York, NY
- NPI 1548208127
-
- Clinic/Center
- Brooklyn, NY
- NPI 1356406136
-
- Clinic/Center
- New York, NY
- NPI 1538943469
-
- Dermatology Physician
- Massapequa, NY
- NPI 1558049577
-
- Internal Medicine Physician
- Fresh Meadows, NY
- NPI 1659906667
Physician Assistant
-
- Urgent Care Clinic/Center
- Flushing, NY
- NPI 1053949958
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1414368000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1414368000000",
"number": "1982009478",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14712 27TH AVE",
"city": "FLUSHING",
"state": "NY",
"postal_code": "113541435",
"telephone_number": "347-368-9226"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4008 FORLEY ST",
"city": "ELMHURST",
"state": "NY",
"postal_code": "113731427",
"telephone_number": "718-446-0270"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YAO",
"first_name": "GUANG YAN",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-10-27",
"last_updated": "2014-10-27",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NY",
"license": "018195",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Elmhurst, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.