DR. PETER YAN (NPI# 1649546367) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649546367 |
| Entity Type | Individual |
| Full Name | DR. PETER YAN |
| Credential | M.D., M.S. |
| Practice Address |
199 Reedsdale Rd Milton MA 02186-3926 |
| Mailing Address |
1300 York Ave Suite F-610 New York NY 10065-4805 |
| Practice Telephone | 6173131445 |
| Mailing Telephone | 2127462323 |
| Mailing Fax Number | 2127468532 |
| Enumeration Date | 2012-03-27 |
| Last Update Date | 2019-10-31 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
281488 | MA | Allopathic & Osteopathic Physicians |
| Y | 2084N0600X |
Psychiatry & Neurology Specialization: Clinical Neurophysiology |
281488 | MA | Allopathic & Osteopathic Physicians |
| N | 2083C0008X |
Preventive Medicine Specialization: Clinical Informatics |
281488 | MA | Allopathic & Osteopathic Physicians |
| Street Address |
199 REEDSDALE RD |
| City | MILTON |
| State | MA |
| Zip Code | 02186-3926 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881669166 | Hope G. Mangili | Nurse Anesthetist, Certified Registered | 199 Reedsdale Rd, Milton, MA 02186-3926 | 2006-02-21 |
| 1336781301 | Associated Physicians of Harvard Medical Faculty Physicians At Beth Is | Pathology | 199 Reedsdale Rd, Milton, MA 02186-3926 | 2019-10-11 |
| 1477056158 | Barbara A Clancy | Orthotist | 199 Reedsdale Rd, Milton, MA 02186-3926 | 2018-03-09 |
| 1700300621 | David Gomes | Physician Assistant | 199 Reedsdale Rd, Milton, MA 02186-3926 | 2017-08-02 |
| 1245773308 | Associated Physicians of Harvard Medical Faculty Physicians At Beth Is | Radiology | 199 Reedsdale Rd, Milton, MA 02186 | 2016-11-22 |
| 1508315821 | Alexander Rosales Ingente | General Acute Care Hospital | 199 Reedsdale Rd, Milton, MA 02186-3926 | 2016-09-27 |
| 1770944779 | Mari Krisel Lantin Salazar | Physician Assistant | 199 Reedsdale Rd, Milton, MA 02186-3926 | 2016-03-18 |
| 1629439880 | Daniel Holder | Physician Assistant | 199 Reedsdale Rd, Milton, MA 02186-3926 | 2016-03-16 |
| 1134589435 | Andrea Paola Choueiri | Physician Assistant | 199 Reedsdale Rd, Milton, MA 02186-3926 | 2016-02-29 |
| 1023480324 | Christopher Raymond Gibson | Physician Assistant | 199 Reedsdale Rd, Milton, MA 02186-3926 | 2015-10-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972072296 | Diane M Ferrari | Social Worker | Milton Residents Fund, 535 Canton Ave., Milton, MA 02186 | 2018-11-15 |
| 1013407626 | Cornelius F. Kiley | Psychologist | 414 Adams Street, Milton, MA 02186 | 2018-05-18 |
| 1962929323 | Blake O'donnell | Social Worker | 597 Randolph Ave, Milton, MA 02186 | 2017-08-27 |
| 1144679564 | Milton Hc Operating LLC | Skilled Nursing Facility | 1200 Brush Hill Road, Milton, MA 02186 | 2016-06-07 |
| 1407096928 | Deborah Lavennia Milton | Counselor | 394 Truman Highway, Milton, MA 02186 | 2009-02-24 |
| 1497940548 | Susan Taylor | Psychologist | 1164 Truman Hwy, Milton, MA 02186 | 2007-09-12 |
| 1023137296 | Dolores Ann Shea | Counselor | 51 Bartons Lane, Milton, MA 02186 | 2007-03-28 |
| 1215052360 | Ilene Cloutier | Occupational Therapy Assistant | 1200 Brushhill Rd, Milton, MA 02186 | 2007-03-20 |
| 1730216151 | David Joseph Purcell | Emergency Medicine | 92 Higland St, Milton Hospital, Milton, MA 02186 | 2007-02-27 |
| 1619035250 | Gregg Raymond Melfi | Dentist | 480 Adams Street, Suite 104, Milton, MA 02186 | 2006-12-05 |
| Find all providers in zip 02186 | ||||
| Taxonomy Code | 2084N0600X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Clinical Neurophysiology |
| Clinical Neurophysiology is a subspecialty with psychiatric or neurologic expertise in the diagnosis and management of central, peripheral, and autonomic nervous system disorders using combined clinical evaluation and electrophysiologic testing such as electroencephalography (EEG), electromyography (EMG), and nerve conduction studies (NCS). |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083168256 | Shreyans Shah | Psychiatry & Neurology | 330 Brookline Ave, Shapiro 8 Tcc, Boston, MA 02215-5400 | 2016-08-05 |
| 1255642286 | Gina Deck | Psychiatry & Neurology | Lahey Hospital and Medical Center, 41 Mall Road, Burlington, MA 01805 | 2010-06-24 |
| 1164743092 | Neurology of Central Massachusetts, PC | Psychiatry & Neurology | 50 Memorial Dr, Suite 211, Leominster, MA 01453-2238 | 2010-06-15 |
| 1932339025 | Swapna Lakshmi Putta | Psychiatry & Neurology | 55 Fogg Road, Bwh Department of Neurology, Emerson 150, South Weumouth, MA 02190 | 2009-07-23 |
| 1275723413 | George A. Gonzalez, M.d., P.C. | Psychiatry & Neurology | 131 Old Road To 9 Acre Cor, Suite 660, Concord, MA 01742-4181 | 2007-07-25 |
| 1427255538 | Green Mountain Neurology, Inc | Psychiatry & Neurology | 777 North St, Suite 205, Pittsfield, MA 01201-4147 | 2007-07-02 |
| 1649227356 | Kaarkuzhali Babu Krishnamurthy | Psychiatry & Neurology | 736 Cambridge St, Boston, MA 02135-2907 | 2006-05-28 |
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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.