DR. YUNJIA TANG (NPI# 1417153933) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1417153933 |
Entity Type | Individual |
Full Name | DR. YUNJIA TANG |
Credential | M.D. |
Practice Address |
1000 Montauk Highway West Islip NY 11795-4927 |
Mailing Address |
4567 Crossroads Park Drive Liverpool NY 13088-3589 |
Practice Telephone | 6313763990 |
Practice Fax Number | 6313763990 |
Mailing Telephone | 3154349309 |
Mailing Fax Number | 3152952125 |
Enumeration Date | 2007-06-22 |
Last Update Date | 2010-06-23 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
242769 | NY | Allopathic & Osteopathic Physicians |
N | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
53299-20 | WI | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WI | 100004694 | 05 | |
WI | BCBS | 141753933 | 01 |
Street Address |
1000 MONTAUK HIGHWAY |
City | WEST ISLIP |
State | NY |
Zip Code | 11795-4927 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356318463 | Maria Vissicchio | Radiology | 1000 Montauk Highway, West Islip, NY 11795 | 2006-03-07 |
1033401211 | Good Samaritan Hospital | Clinic/Center | 1000 Montauk Highway, West Islip, NY 11795 | 2011-05-06 |
1235391202 | Heather Grooms | Pediatrics | 1000 Montauk Highway, West Islip, NY 11795 | 2008-06-30 |
1003034141 | Kristy Selvaggi | Physician Assistant | 1000 Montauk Highway, Good Samaritan Hospital, West Islip, NY 11795 | 2007-04-23 |
1275606485 | Roshni S Samuel | Internal Medicine | 1000 Montauk Highway, Good Samaritan Hospital Medical Center, West Islip, NY 11795-4927 | 2006-11-16 |
1356371975 | Steven J Zimmerman | Emergency Medicine | 1000 Montauk Highway, West Islip, NY 11795-2145 | 2006-07-03 |
1972544971 | Jeffrey Evan Gropper | Anesthesiology | 1000 Montauk Highway, West Islip, NY 11795 | 2006-06-09 |
1568402410 | Radiology Consulting of Long Island Pllc | Radiology | 1000 Montauk Highway, West Islip, NY 11795-4927 | 2006-06-08 |
1487694808 | Venkatachalam Venkatachalam | Anesthesiology | 1000 Montauk Highway, Good Samaritan Hosp, West Islip, NY 11795 | 2006-06-07 |
1275599961 | Osborne D Williams | Anesthesiology | 1000 Montauk Highway, Good Smaritan Hospital Medical Center, West Islip, NY 11795 | 2006-04-22 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639790843 | Aparna Kaleeckal Rajalakshmi | Student in an Organized Health Care Education/Training Program | 1000 Montauk Highway, Good Samaritan Hospital Medical C, Attention Stephanie Rodriguez, Graduate Medical Educati, West Islip, NY 11795 | 2020-04-28 |
1164087375 | South Shore Medical Services Pllc | Physician Assistant | 1175 Montauk Kwy, Suite 6, West Islip, NY 11795 | 2019-05-02 |
1841656030 | Asnis Dental Pllc | Dentist | 440 Montauk Highway, West Islip, NY 11795 | 2016-01-05 |
1376913731 | Erik Walter | Physician Assistant | 434 Union Blvd, West Islip, NY 11795 | 2015-09-29 |
1902202302 | Cathleen Degarmo | Specialist | 524 Everdell Ave, West Islip, NY 11795 | 2014-11-12 |
1902201098 | Caitlin Henderson | Nurse Practitioner | 500 Montauk Highway Suite W, Sarah Schwartz Md Pllc, West Islip, NY 11795 | 2014-10-31 |
1497182752 | Alyssa C Cervini | Social Worker | 145 Higbie Ln, West Islip, NY 11795 | 2013-10-02 |
1174966485 | John George Egner | Specialist | 1 Kennedylane, W Islip, NY 11795 | 2013-04-17 |
1902155369 | Timothy George M.d., P.C. | Pediatrics | 239 Higbie Lane, West Islip, NY 11795 | 2012-08-31 |
1124387824 | Dawn Marie Coughlin | Speech-Language Pathologist | 50 Cedar Point Drive, West Islip, NY 11795 | 2012-05-15 |
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Taxonomy Code | 207ZP0102X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Pathology |
Specialization | Anatomic Pathology & Clinical Pathology |
A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added, 7/1/2009: definition reformatted] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/ This taxonomy code identifies the combined anatomic pathology & clinical pathology route. Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. To acknowledge the diverse activities in the practice of pathology and to accommodate the interests of individuals wanting to enter the field, the ABP offers primary certification through the following three routes: combined anatomic pathology and clinical pathology, anatomic pathology only and clinical pathology only. Primary certification in anatomic pathology or clinical pathology may be combined with some of the subspecialty certifications. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427020072 | Chizheng Zhong | Pathology | 1000 Montauk Hwy, West Islip, NY 11795-4927 | 2006-02-07 |
1144212747 | Pathology and Laboratory Consultants of Long Island, Pllc | Pathology | 1000 Montauk Hwy, West Islip, NY 11795-4927 | 2005-08-19 |
1235121799 | Zhi-wei Ma | Pathology | 1000 Montauk Hwy, Department of Pathology, West Islip, NY 11795-4927 | 2005-08-19 |
1982696548 | Jeffrey A Hamilton | Pathology | 1000 Montauk Hwy, West Islip, NY 11795-4927 | 2005-08-19 |
1215929781 | Zhanqing Yan | Pathology | 1000 Montauk Hwy, West Islip, NY 11795-4927 | 2005-08-19 |
1659363364 | William John Jude Engellenner | Pathology | 1000 Montauk Hwy, West Islip, NY 11795-4927 | 2005-08-18 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356989388 | Prime Pathology Laboratory, LLC | Pathology | 196 Meeting House Ln, Southampton, NY 11968-5062 | 2019-12-20 |
1275006025 | Sterling Physicians | Pathology | 15408 Northern Blvd Ste 2k, Flushing, NY 11354-5042 | 2019-01-04 |
1033605696 | Riddhish Tushar Sheth | Pathology | 4370 Kissena Blvd Apt 12a, Flushing, NY 11355 | 2018-07-07 |
1740783810 | Rgld Pathology PC | Pathology | 3765 Riverdale Ave Ste 7, Bronx, NY 10463-1845 | 2018-03-14 |
1346755410 | Sunstone Pathology Services PC | Pathology | 1010 Adams Ave, Franklin Square, NY 11010-2248 | 2017-12-11 |
1316494578 | Jane Date Hon | Pathology | 7528 167th St, Flushing, NY 11366-1327 | 2016-09-06 |
1518340876 | Rachana Choksi | Pathology | Nichols Road Department of Pathology Level 2-749, Stony Brook, NY 11794-7025 | 2015-07-06 |
1619359916 | Hamza Numan Gokozan | Pathology | 525 E 68th St Rm F-771a, New York, NY 10065-4870 | 2015-06-23 |
1679988612 | Lingxin Zhang | Pathology | 535 East 70th East Street, Department of Pathology and Laboratory Medicine, New York, NY 10021 | 2014-06-29 |
1003227737 | Jose Victor Scarpa Carniello | Pathology | 525 E 68th St Rm F-07766b, New York, NY 10065-4870 | 2014-05-15 |
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City | WEST ISLIP |
Zip Code | 11795 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.