Provider Demographics
NPI:1508868019
Name:DING, ANDREW YING-QING (MD)
Entity Type:Individual
Prefix:DR
First Name:ANDREW
Middle Name:YING-QING
Last Name:DING
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:835 HARRISTOWN RD
Mailing Address - Street 2:
Mailing Address - City:GLEN ROCK
Mailing Address - State:NJ
Mailing Address - Zip Code:07452-2424
Mailing Address - Country:US
Mailing Address - Phone:201-857-8416
Mailing Address - Fax:
Practice Address - Street 1:10 COMMERCE DR
Practice Address - Street 2:
Practice Address - City:NEW ROCHELLE
Practice Address - State:NY
Practice Address - Zip Code:10801-5214
Practice Address - Country:US
Practice Address - Phone:914-637-3510
Practice Address - Fax:914-819-0061
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-15
Last Update Date:2008-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY222248207L00000X
NJ25MA07449600207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02194934Medicaid
NY7L930ZXWW1Medicare PIN
NJ093764RJ0Medicare PIN
NY7L930ZT5H1Medicare PIN
NY7L930YRXP1Medicare PIN
NY02194934Medicaid
NY7L9301Medicare PIN