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

Mr. Gary Yam

Individual provider Registered Nurse · NPI 1619485281

Mr. Gary Yam is a Certified Registered Nurse Anesthetist (CRNA) in Stony Brook, New York. Graduated from State University of New York at Buffalo School of Medicine in 2018, 8 years ago. Practices with North Shore - Lij Anesthesiology, PC, a 1,004-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
8
Trained at
State University of New York at Buffalo School of Medicine
Licensed in
NY
In the registry since
2018
Specialties on file
3
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Practice location Address checks out

101 Nicolls Rd
Stony Brook, NY 11794
Phone: (631) 942-4613
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 652027-01 (NY)
Registered Nurse Taxonomy 163W00000X · Licence 652027 (NY)
Acute Care Nurse Practitioner Taxonomy 363LA2100X · Licence F431347-01 (NY)

Record details

NPI number1619485281
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJanuary 17, 2018
Last updated in NPPESNovember 22, 2024
Certification dateNovember 22, 2024
Mailing address101 Nicolls Rd, Stony Brook, NY 11794

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolSTATE UNIVERSITY OF NEW YORK AT BUFFALO SCHOOL OF MEDICINE
Graduated 2018 (8 years in practice)
Group practice North Shore - Lij Anesthesiology, Pc — 1004 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Stony Brook