Provider Demographics
NPI:1851397129
Name:YANG, BER-YUH (MD)
Entity Type:Individual
Prefix:DR
First Name:BER-YUH
Middle Name:
Last Name:YANG
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 1:13511 40TH RD
Mailing Address - Street 2:SUITE 3D
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11354-5323
Mailing Address - Country:US
Mailing Address - Phone:718-539-8483
Mailing Address - Fax:718-539-8422
Practice Address - Street 1:13511 40TH RD
Practice Address - Street 2:SUITE 3D
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11354-5301
Practice Address - Country:US
Practice Address - Phone:718-539-8483
Practice Address - Fax:718-539-8422
Is Sole Proprietor?:Yes
Enumeration Date:2005-06-22
Last Update Date:2020-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY195503207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYP891038OtherOXFORD PROVIDER ID
NY195503OtherHIP PROVIDER ID
NY811311OtherEMPIRE BC/BS PROVIDER ID
NY195503-A48OtherHEALTHFIRST PROVIDER ID
NY2210044OtherAETNA INTERNAL MEDICINE
NY2369021OtherAETNA ONCOLOGY/HEMATOLOGY
NY01750238Medicaid
NY5199980OtherGHI PROVIDER ID
NY5631642OtherAETNA PPO
NY1838274OtherUNITEDHEALTHCARE ID
NY2369021OtherAETNA ONCOLOGY/HEMATOLOGY
NYG49904Medicare UPIN