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LY FAMILY MEDICINE ELMHURST
NPI 1508738659
Family Medicine in Elmhurst, NY

Active since September 18, 2025CLIA 33D2334698 · Waiver
4502 82ND ST, ELMHURST, NY 11373(718) 779-2248(718) 779-2448 Get Directions Write a Review

NPPES record last updated: September 18, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ly Family Medicine Elmhurst NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LY FAMILY MEDICINE ELMHURST (NPI 1508738659) is a healthcare organization registered as a family medicine in Elmhurst, New York and active in the NPI registry since September 2025. The organization holds a CLIA Waiver certificate valid through November 30, 2027 and lists Liyan Yao, Owner, as its authorized official.

NPPES Registry Identity

NPI1508738659
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameLY FAMILY MEDICINE ELMHURST
Location Address4502 82ND STElmhurst, NY 11373-3598
Mailing Address36 Hilltop DrSyosset, NY 11791-2003 · (631) 882-1689
Phone(718) 779-2248
Fax(718) 779-2448
Organization SubpartNo
Authorized OfficialLiyan YaoOwner · (631) 882-1689
Enumeration DateSeptember 18, 2025
NPPES CertifiedSeptember 18, 2025
✔ NPI 1508738659 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
4502 82ND ST, Elmhurst, NY 11373
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 33D2334698

Ly Family Medicine Elmhurst PC · Elmhurst, NY
Active · expires Nov 30, 2027
CLIA Number33D2334698
Laboratory TypePhysician Office
Certificate Effective DateDecember 1, 2025
Certificate Expiration DateNovember 30, 2027
Laboratory DirectorDr. Liyan Yao
Laboratory Phone(718) 779-2248
Laboratory LocationLy Family Medicine Elmhurst PC45-02 82nd St, 1st Fl, Elmhurst, NY 11373
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

QIKAI YAO PHYSICIAN, P.C.
Pediatrics
4502 82ND ST
ELMHURST, NY 11373
Queens County (718) 779-2248
DR. LIYAN YAO MD
Family Medicine
4502 82ND ST
ELMHURST, NY 11373
Queens County (718) 779-2248
ELMHURST UNITED MEDICAL PC
Clinic/Center (Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF))
4502 82ND ST
ELMHURST, NY 11373
Queens County (718) 699-0926
EASTWEST MEDICAL CARE PLLC
Physical Medicine & Rehabilitation
4502 82ND ST
ELMHURST, NY 11373
Queens County (718) 424-0088

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ly Family Medicine Elmhurst's NPI number?

The NPI number for Ly Family Medicine Elmhurst is 1508738659. It was assigned to this organization in the NPPES registry on September 18, 2025.

Where is Ly Family Medicine Elmhurst located?

Ly Family Medicine Elmhurst is located at 4502 82nd St, Elmhurst, NY 11373. The listed phone number is (718) 779-2248.

What is Ly Family Medicine Elmhurst's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Ly Family Medicine Elmhurst hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D2334698) is associated with this NPI, valid through November 30, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Ly Family Medicine Elmhurst was last updated on September 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.