Individual provider Active NPI

Yun Yan Zheng, MS, PA-C

  • Medical Physician Assistant
  • Wall Township, NJ
National Provider Identifier
1093097172
Registry record updated Jul 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
25MP00263100 Issued in NJ
Practice address
1825 Rte 35
Wall Township, NJ 07719-3541
Phone
(732) 280-2600
Fax
(848) 469-8933
NPI assigned
Sep 14, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 25MP00263100 NJ Primary

Addresses

Primary practice location

1825 Rte 35
Wall Township, NJ 07719-3541

Mailing address

1 Diamond Hill Rd
Berkeley Heights, NJ 07922-2104
Phone (908) 273-4300

Other practice location 1

564 Broadway
Bayonne, NJ 07002
Phone (201) 468-8888

Other practice location 2

110 W 97th St
New York, NY 10025-6450
Phone (212) 316-8329

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20130828000651 NY Practitioner - Physician Assistant 7517100225 Reassigns benefits to 1 organization
I20140902001720 NJ Practitioner - Physician Assistant 7517100225 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Summit Medical Group PAGroup PAC ID 5395642276, 1,204 clinicians

Practice addresses (Care Compare)

1 Diamond Hill Rd
Berkeley Heights, NJ 07922-2104
Phone (908) 273-4300

Hospital & facility affiliations

  • Centrastate Medical Center Hospital, Freehold, NJ, CCN 310111

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
William F Ryan Community Health Center Inc CurrentSince Jul 2, 2012 Accepting new patients
Summit Medical Group PA CurrentSince May 8, 2023 Accepting new patients
William F Ryan Community Health Center Inc CurrentSince Jul 2, 2012 Accepting new patients
Summit Medical Group PA CurrentSince May 8, 2023 Accepting new patients
CMG Medical Group I LLC Past Accepting new patients
Tidal Emergency Physicians LLC Past Accepting new patients
Bimc Faculty Practice Physician Assistant Past Accepting new patients

Locations

1 Diamond Hill Rd
Berkeley Heights, NJ 07922
Phone (908) 277-8868

100 Madison Ave
Morristown, NJ 07960
Phone (973) 538-5210

1825 State Route 35
Wall Township, NJ 07719
Phone (732) 280-2600

110 W 97th St
New York, NY 10025
Phone (212) 316-7906

Interoperability endpoints

  • Direct secure messaging: yun.yan.zheng.1@2983.direct.athenahealth.com

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 1

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": "1315958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689120000000",
    "number": "1093097172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 DIAMOND HILL RD",
            "city": "BERKELEY HEIGHTS",
            "state": "NJ",
            "postal_code": "079222104",
            "telephone_number": "908-273-4300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1825 RTE 35",
            "city": "WALL TOWNSHIP",
            "state": "NJ",
            "postal_code": "077193541",
            "telephone_number": "732-280-2600",
            "fax_number": "848-469-8933"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "564 Broadway",
            "address_purpose": "LOCATION",
            "city": "Bayonne",
            "state": "NJ",
            "postal_code": "07002",
            "country_code": "US",
            "telephone_number": "201-468-8888",
            "fax_number": "201-455-3083",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "110 W 97th St",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100256450",
            "country_code": "US",
            "telephone_number": "212-316-8329",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZHENG",
        "first_name": "YUN YAN",
        "name_prefix": "Ms.",
        "credential": "MS, PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-14",
        "last_updated": "2023-07-12",
        "certification_date": "2023-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NJ",
            "license": "25MP00263100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wall Township, NJ

Sources for this page

Verify at the official NPI Registry.