Provider Demographics
NPI:1346292786
Name:DING, YOU GUANG (MD)
Entity Type:Individual
Prefix:
First Name:YOU GUANG
Middle Name:
Last Name:DING
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:44 SYLVAN AVE 1E
Mailing Address - Street 2:
Mailing Address - City:ENGLEWOOD CLIFFS
Mailing Address - State:NJ
Mailing Address - Zip Code:07632-2417
Mailing Address - Country:US
Mailing Address - Phone:201-585-9980
Mailing Address - Fax:201-632-7000
Practice Address - Street 1:44 SYLVAN AVE
Practice Address - Street 2:1 E
Practice Address - City:ENGLEWOOD CLIFFS
Practice Address - State:NJ
Practice Address - Zip Code:07632-2426
Practice Address - Country:US
Practice Address - Phone:201-585-9980
Practice Address - Fax:201-632-7000
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-16
Last Update Date:2017-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA08054600208D00000X, 207UN0901X
NY236368-1207U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207U00000XAllopathic & Osteopathic PhysiciansNuclear Medicine
No208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
No207UN0901XAllopathic & Osteopathic PhysiciansNuclear MedicineNuclear Cardiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0142433Medicaid
NJ118257OtherMEDICARE
NY02735248Medicaid
NYI51771Medicare UPIN
NY02735248Medicaid