Individual provider Active NPI

Yulong Yang, M.D.

  • Internal Medicine Physician
  • Fort Lee, NJ
National Provider Identifier
1013392919
Registry record updated Aug 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25MA10163800 Issued in NJ
Practice address
2083 Center Ave Ste 2a
Fort Lee, NJ 07024
Phone
(201) 292-5200
NPI assigned
Jul 22, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 25MA10163800 NJ Primary

Addresses

Primary practice location

2083 Center Ave Ste 2a
Fort Lee, NJ 07024

Mailing address

2083 Center Ave Ste 2a
Fort Lee, NJ 07024-7400
Phone (201) 292-5200

Other practice location 1

353 E 17th St Fl 2
New York, NY 10003-3821
Phone (212) 420-3743

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180618000663 NJ Practitioner - Internal Medicine 6709131675 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

718 Teaneck Rd
Teaneck, NJ 07666-4245
Phone 20183330007405

Hospital & facility affiliations

  • Holy Name Medical Center Hospital, Teaneck, NJ, CCN 310008
  • Englewood Hospital and Medical Center Hospital, Englewood, NJ, CCN 310045
  • Palisades Medical Center Hospital, North Bergen, NJ, CCN 310003

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25MA10163800NJMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Holy Name Health Physicians Internal Medicine CurrentSince Jan 1, 2022 Accepting new patients
Ms Comprehensive Care Center CurrentSince Jun 29, 2018 Accepting new patients
Holy Name Primary Care and Specialty Associates, PC Internal Medicine Past Accepting new patients

Locations

44 Sylvan Ave
Ste 1E
Englewood Cliffs, NJ 07632
Phone (201) 585-9980

44 Sylvan Ave
Englewood Cliffs, NJ 07632
Phone (201) 944-5999

718 Teaneck Rd
Teaneck, NJ 07666
Phone (201) 833-3232

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1437523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533168000000",
    "number": "1013392919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2083 CENTER AVE STE 2A",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "070247400",
            "telephone_number": "201-292-5200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2083 CENTER AVE STE 2A",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "07024",
            "telephone_number": "201-292-5200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "353 E 17th St Fl 2",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100033821",
            "country_code": "US",
            "telephone_number": "212-420-3743",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YANG",
        "first_name": "YULONG",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-07-22",
        "last_updated": "2018-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA10163800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lee, NJ

Sources for this page

Verify at the official NPI Registry.