Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

In Soon Yang

Individual provider Family Nurse Practitioner · NPI 1548334972

In Soon Yang is a Nurse Practitioner in Elmhurst, New York. Graduated from State University of New York at Stony Brook, School of Medicine in 2004, 22 years ago. Practices with The Child Center of Ny Inc, a 15-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New York.

Years since qualifying
22
Trained at
State University of New York at Stony Brook, School of Medicine
Licensed in
NY
In the registry since
2006
Specialties on file
2
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Practice location Address checks out

7901 Broadway Manage Care D1-01
Elmhurst, NY 11373-1329
Phone: (718) 334-3513
Fax: (718) 334-3513
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence F401882-1 (NY)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence F334305 (NY)

Record details

NPI number1548334972
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 18, 2006
Last updated in NPPESOctober 31, 2016
Mailing address7901 Broadway, Manage Care D1-01, Elmhurst, NY 11373-1329

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolSTATE UNIVERSITY OF NEW YORK AT STONY BROOK, SCHOOL OF MEDICINE
Graduated 2004 (22 years in practice)
Group practice The Child Center Of Ny Inc — 15 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

Other providers in Elmhurst