Yong Jin
Individual provider Active NPI Massage Therapist · Wayne, NJ
NPI 1245112093 · NPPES record last updated Jul 23, 2025
Key facts
- NPI
- 1245112093
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Massage Therapist 225700000X
- License
- 18KT01112800 (NJ)
- Practice address
- 1777 Hamburg Tpke Ste 206
Wayne, NJ 07470-5243 - Phone
- (201) 360-7551
- Fax
- (888) 449-2187
- NPI assigned
- Jul 23, 2025
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18KT01112800 | NJ | MD | Massage Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 18KT01112800 | NJ | Yes |
Addresses
Primary practice location
1777 Hamburg Tpke Ste 206
Wayne, NJ 07470-5243
Mailing address
1777 Hamburg Tpke Ste 206
Wayne, NJ 07470-5243
Phone (201) 360-7551
Other providers in Wayne, NJ
- Jewish Family Service of North Jersey, Inc.
- Shiveindra B Jeyamohan
- JF Health and Wellness LLC
- Linlin Jiang
- Jim Collins PT
- Leonard Joachim
- Andrea Jobst
- Libby Joffe
- John Hayes Physical Therapy LLC
- Davis John
All providers in Wayne, NJ · Massage Therapist in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 23, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.