Individual provider Active NPI

Gary Yen, M.D

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Marlboro, NJ
National Provider Identifier
1356383566
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
License
25MA08049100 Issued in NJ
Practice address
17 N Main St
Marlboro, NJ 07746-1439
Phone
(732) 431-2155
Fax
(732) 431-2889
NPI assigned
Jun 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X 25MA08049100 NJ Primary

Addresses

Primary practice location

17 N Main St
Marlboro, NJ 07746-1439

Mailing address

Advanced Wellness
17 North Main Street
Marlboro, NJ 07746
Phone (732) 431-2155

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
I20061003000164 NJ Practitioner - Physical Medicine and RehabilitationPractitioner - Interventional Pain ManagementPractitioner - Pain Management 1456332915 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and RehabilitationAlso: Interventional Pain Management, Pain Management
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Advanced WellnessGroup PAC ID 2163436148, 18 clinicians

Practice addresses (Care Compare)

17 N Main St
Marlboro, NJ 07746-1439
Phone (732) 431-2155

Merit-based Incentive Payment System (MIPS)

Final score
13.98 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
46.59

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper limb (arm) arthroscopy (minimally invasive joint repair)1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Wellness Pain Medicine CurrentSince Mar 27, 2006 Accepting new patients
Key Physmed PC Past Accepting new patients
Anesthesia Care, PLLC Past Accepting new patients
Northeast Spine & Wellness Center LLC PastSince May 20, 2005 Accepting new patients
David L. Bagnall MD PC PastSince May 1, 2002 Accepting new patients

Locations

17 N Main St
Marlboro, NJ 07746
Phone (732) 431-2155

Organizations & group practices 5

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": "1150070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1356383566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "ADVANCED WELLNESS",
            "address_2": "17 NORTH MAIN STREET",
            "city": "MARLBORO",
            "state": "NJ",
            "postal_code": "07746",
            "telephone_number": "732-431-2155",
            "fax_number": "732-431-2889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 N MAIN ST",
            "city": "MARLBORO",
            "state": "NJ",
            "postal_code": "077461439",
            "telephone_number": "732-431-2155",
            "fax_number": "732-431-2889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YEN",
        "first_name": "GARY",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "NJ",
            "license": "25MA08049100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marlboro, NJ

Sources for this page

Verify at the official NPI Registry.