Individual ProviderLing Yan JiangPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address5604 7th Ave Ste 1, Brooklyn, NY 11220-4660(718) 820-6091(718) 360-7666PECOS EnrollmentBased on the most recent information from CMS, provider Ling Yan Jiang is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records yesterday at 1:21 PM.Profile DetailsProvider ID1578991964Provider TypeIndividualFull NameJiang, Ling YanTitleMissCredentialP.AGenderFemaleSole ProprietorNoEnumeration Date10/22/2013Last Updated5/7/2024Contact InformationPractice LocationPractice Address5604 7th Ave Ste 1, Brooklyn, NY 11220-4660Phone(718) 820-6091Fax(718) 450-8919Mailing LocationMailing Address5604 7th Ave Ste 1, Brooklyn, NY 11220-4660Phone(718) 360-7666Fax(718) 450-8919Provider TaxonomiesCodeDescriptionLicenseCode363A00000XPrimaryDescriptionPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersLicense016804New YorkProvider IdentifiersIDDescriptionIssuerID03788149DescriptionMedicaidIssuerUnlistedNew York