Individual provider Active NPI

Kenneth Edward Yang, MD

  • Ophthalmology Physician
  • East Brunswick, NJ
National Provider Identifier
1114985595
Registry record updated Jun 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
25MA06166800 Issued in NJ
Practice address
C-5 Cornwall Court
East Brunswick, NJ 08816
Phone
(732) 257-5767
Fax
(732) 238-3777
NPI assigned
May 3, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 13, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 25MA06166800 NJ Primary

Addresses

Primary practice location

C-5 Cornwall Court
East Brunswick, NJ 08816

Mailing address

C-5 Cornwall Court
East Brunswick, NJ 08816
Phone (732) 257-5767

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
I20040428001284 NJ Practitioner - Ophthalmology 6305833625 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Rutgers New Jersey Medical School, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

C5 Cornwall Dr
East Brunswick, NJ 08816-3362

Merit-based Incentive Payment System (MIPS)

Final score
22.81 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
76.02

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery218

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA06166800NJMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Vivian Chen, M.D., P.a. Ophthalmology CurrentSince Nov 26, 2003 Accepting new patients

Locations

C5 Cornwall Dr
East Brunswick, NJ 08816
Phone (732) 238-3771

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1146614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402617600000",
    "number": "1114985595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "C-5 CORNWALL COURT",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "08816",
            "telephone_number": "732-257-5767",
            "fax_number": "732-238-3777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "C-5 CORNWALL COURT",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "08816",
            "telephone_number": "732-257-5767",
            "fax_number": "732-238-3777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YANG",
        "first_name": "KENNETH",
        "middle_name": "EDWARD",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-03",
        "last_updated": "2014-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NJ",
            "license": "25MA06166800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Brunswick, NJ

Sources for this page

Verify at the official NPI Registry.