NPIMap

Individual provider Active NPI

Tianzhong Yang, M.D.

  • Internal Medicine Physician
  • Montclair, NJ
National Provider Identifier
1255521753
Registry record updated Feb 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25MA09295600 Issued in NJ
Practice address
239 Claremont Ave Ste B
Montclair, NJ 07042-2833
Phone
(973) 893-5317
NPI assigned
Jul 31, 2007
Last updated
Feb 10, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2025

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 25MA09295600 NJ Primary

Addresses

Primary practice location

239 Claremont Ave Ste B
Montclair, NJ 07042-2833

Mailing address

239 Claremont Ave Ste B
Montclair, NJ 07042-2833
Phone (973) 893-5317

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131127000834 NJ Practitioner - Internal Medicine 4082840871 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

239 Claremont Ave
Montclair, NJ 07042-2833
Phone (973) 771-3863

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Dedicated Primary Care LLC CurrentSince Oct 7, 2013 Accepting new patients
Montclair Hospital LLC Past Accepting new patients

Locations

239 Claremont Ave
Montclair, NJ 07042
Phone (973) 338-3300

239 Claremont Ave
Ste B
Montclair, NJ 07042
Phone (973) 338-3300

Organizations & group practices 2

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

Hospital & facility affiliations 10

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": "1185840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739145600000",
    "number": "1255521753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "239 CLAREMONT AVE STE B",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070422833",
            "telephone_number": "973-893-5317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "239 CLAREMONT AVE STE B",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070422833",
            "telephone_number": "973-893-5317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YANG",
        "first_name": "TIANZHONG",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-31",
        "last_updated": "2025-02-10",
        "certification_date": "2025-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA09295600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montclair, NJ

Sources for this page

Verify at the official NPI Registry.