Bai Yan Gong · Pharmacist

6819 Fresh Pond Rd, Ridgewood, NY 11385-5240

Overview

Bai Yan Gong is a Pharmacist practicing in Ridgewood, New York. The National Provider Identifier (NPI) is #1942185236, which was assigned on August 7, 2025, and the registration record was last updated on August 8, 2025. The practitioner's main practice location is at 6819 Fresh Pond Rd, Ridgewood, NY 11385-5240; the contact telephone number is 7184564400. The primary taxonomy of Bai Yan Gong is Pharmacist (183500000X). Bai Yan Gong is licensed to practice in the state of New York (#072633-01).

An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.

Provider Information

NPI 1942185236
Entity Type Individual
Provider Name BAI YAN GONG
Gender Male
Credential PHARMD
Practice Address 6819 Fresh Pond Rd
Ridgewood
NY 11385-5240
Practice Telephone 7184564400
Mailing Address 2719 44th Dr Apt 16a
Long Island City
NY 11101-3052
Certification Date 2025-08-08
Enumeration Date 2025-08-07
Last Update Date 2025-08-08
Is Sole Proprietor N

Taxonomy and Licenses

PrimaryCodeClassificationSpecializationTaxonomy GroupLicense NumberLicense State
Y183500000XPharmacist072633-01NY

Taxonomy Information

Primary Taxonomy

Code 183500000X
Taxonomy Pharmacist
Classification Pharmacist
Grouping Pharmacy Service Providers
Definition: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified]

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Location Information

Street Address 6819 FRESH POND RD
City RIDGEWOOD
State NY
Zip Code 11385-5240
Country US

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Mattoo & Bhat Medical Associates, P.C. 385 Seneca Ave, Ridgewood, NY 11385-1340Specialist2006-06-09
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Glenridge Medical Associates PC 385 Seneca Ave, Ridgewood, NY 11385-1340Internal Medicine Physician2007-01-03
Stela Teferici 385 Seneca Ave, Ridgewood, NY 11385-1340Internal Medicine Physician2020-08-20
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Marcelina Gawryluk 339 Grandview Ave, Ridgewood, NY 11385-1213Nurse Practitioner2021-02-17
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Dataset Information

This dataset includes over five million health care providers who are assigned National Provider Identifier (NPI) in the National Plan and Provider Enumeration System (NPPES), developed by the Centers for Medicare & Medicaid Services (CMS). Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under Health Insurance Portability and Accountability Act (HIPAA). Each provider is registered with the NPI, full name, status, address, taxonomy, other identifiers, etc.

Subject Transparency and Disclosure
Jurisdiction Federal
Data Provider National Plan and Provider Enumeration System (NPPES), by the Centers for Medicare & Medicaid Services (CMS)
Source download.cms.gov

Dataset Details

The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers and all health plans and health care clearinghouses, who must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number).

All health care providers who are HIPAA-covered entities, whether individuals or organizations, must get an NPI. A HIPAA-covered entity is a health care provider that conducts certain transactions in electronic form, or a health care clearinghouse, or a health plan (including commercial plans, Medicare, and Medicaid).

Centers for Medicare & Medicaid Services (CMS) has developed the National Plan and Provider Enumeration System (NPPES) to assign unique identifiers to health care providers. The National Provider Indentifier (NPI) has been the standard identifier for all HIPAA-covered entities (health care providers) since May 23, 2007. Small health plans were required to obtain and use an NPI by May 23, 2008.

This dataset includes over five million health care providers (individuals and organizations) who are assigned NPI. The provider data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA), as listed in the NPPES Data Dissemination Notice (CMS-6060-N). The NPI final rules define the following elements which required to be disclosed as determined by Department of Health & Human Services (HHS): NPI, Entity Type, Provider Name, Credential, Business Mailing Address, Business Location Address, Healthcare Provider Taxonomy Code, Other Provider Identifier, Provider Enumeration Date, NPI Deactivation Date, Provider License Number, Authorized Official Name and Contact Information.