Active NPI
Michael Yoong Mdpa
- General Practice Physician
- Vineland, NJ
National Provider Identifier
1346258381
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- MA35922
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1623907 | Medicaid | NJ |
National Provider Directory
National Provider DirectoryLocations
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.
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Family Medicine
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.