Organization Active NPI

Michael Yoong Mdpa

  • General Practice Physician
  • Vineland, NJ
National Provider Identifier
1346258381
Registry record updated Dec 14, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
MA35922 Issued in NJ
Legal business name
MICHAEL YOONG MDPA
Practice address
2630 E Chestnut Avenue
Vineland, NJ 08361
Phone
(856) 691-1658
Fax
(856) 692-1558
NPI assigned
Aug 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2007

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

Authorized official

Name
Dr. Michael Yoong, MDPA
Title
Owner Physician
Phone
(856) 691-1658

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X MA35922 NJ Primary

Addresses

Primary practice location

2630 E Chestnut Avenue
Vineland, NJ 08361

Mailing address

2630 E Chestnut Ave
Vineland, NJ 08361
Phone (856) 691-1658

Other identifiers 1

IdentifierTypeStateIssuer
1623907MedicaidNJ

National Provider Directory

National Provider Directory

Locations

2630 E Chestnut Ave
Vineland, NJ 08361
Phone (609) 691-1658

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197590400000",
    "number": "1346258381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2630 E CHESTNUT AVE",
            "city": "VINELAND",
            "state": "NJ",
            "postal_code": "08361",
            "telephone_number": "856-691-1658",
            "fax_number": "856-692-1558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2630 E CHESTNUT AVENUE",
            "city": "VINELAND",
            "state": "NJ",
            "postal_code": "08361",
            "telephone_number": "856-691-1658",
            "fax_number": "856-692-1558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL YOONG MDPA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-04",
        "last_updated": "2007-12-14",
        "status": "A",
        "authorized_official_last_name": "YOONG",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER PHYSICIAN",
        "authorized_official_telephone_number": "856-691-1658",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MDPA"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "NJ",
            "license": "MA35922",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1623907",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Vineland, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.