Kenneth Yan, M.D., PH.D.

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

25MA11464200 Issued in NJ

Practice address

90 Bergen St Ste 8100
Newark, NJ 07103-2425

Phone

(973) 972-4588

NPI assigned

May 16, 2016

Last updated

Aug 22, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

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

Specialty

Otolaryngology

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

University Physician Associates of New Jersey IncGroup PAC ID 9830003417, 374 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• The University Hospital Hospital, Newark, NJ, CCN 310119
• Cooperman Barnabas Medical Center Hospital, Livingston, NJ, CCN 310076
• Jersey City Medical Center Hospital, Jersey City, NJ, CCN 310074
• Clara Maass Medical Center Hospital, Belleville, NJ, CCN 310009

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine, Doctor of Philosophy

State licenses

Practice roles

Locations

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.

• University Physician Associates of New Jersey Inc

  dba University Surgical Associates

  • Surgery Physician
  • Newark, NJ
  • NPI 1639189236

  Multi-Specialty

  Medicare reassignment Care Compare group NPD
• University Physician Associates of New Jersey Inc

  dba University Medical Associates

  • Internal Medicine Physician
  • Newark, NJ
  • NPI 1760492367

  Multi-Specialty

  NPD
• University Physician Associates of New Jersey Inc

  dba New Jersey Family Practice Center

  • Family Medicine Physician
  • Newark, NJ
  • NPI 1467462168

  Multi-Specialty

  NPD (past)
• Jeffrey Rawnsley, M.D., Inc

  • Otolaryngology/Facial Plastic Surgery Physician
  • Los Angeles, CA
  • NPI 1104022821

  Multi-Specialty

  NPD (past)
• The Regents of the University of California

  dba UCLA Neurology Group Practice

  • Land Ambulance
  • Los Angeles, CA
  • NPI 1962219410

  Multi-Specialty

  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Clara Maass Medical Center

  • General Acute Care Hospital
  • Belleville, NJ
  • NPI 1902901333
  Care Compare affiliation
• Cooperman Barnabas Medical Center Inc

  • General Acute Care Hospital
  • Livingston, NJ
  • NPI 1396857488
  Care Compare affiliation
• Jersey City Medical Center

  • General Acute Care Hospital
  • Jersey City, NJ
  • NPI 1689744856
  Care Compare affiliation
• Jersey City Medical Center

  dba Jersey City Medical Center/AMB

  • Ambulance
  • Jersey City, NJ
  • NPI 1871738021

  Hospital

  Care Compare affiliation
• University Hospital

  • General Acute Care Hospital
  • Newark, NJ
  • NPI 1215998323
  Care Compare affiliation

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

{
    "created_epoch": "1463356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692662400000",
    "number": "1447607841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5767 W CENTURY BLVD STE 400",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900455631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 BERGEN ST STE 8100",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071032425",
            "telephone_number": "973-972-4588"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5841 S Maryland Ave # Mc1035",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606371447",
            "country_code": "US",
            "telephone_number": "617-308-0529",
            "fax_number": "773-834-3888",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "924 Westwood Blvd Ste 515",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900242926",
            "country_code": "US",
            "telephone_number": "310-794-8634",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "200 Ucla Medical Plz Ste 550",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900951447",
            "country_code": "US",
            "telephone_number": "310-206-6688",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YAN",
        "first_name": "KENNETH",
        "credential": "M.D., PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-05-16",
        "last_updated": "2023-08-22",
        "certification_date": "2023-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "IL",
            "license": "125068441",
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "NJ",
            "license": "25MA11464200",
            "primary": true
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "CA",
            "license": "A171225",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shahd Yaghi, MD
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• Yee-Kuen Yam, MD, PHD
• Yamna LLC
• Vanessa Yamuca, LSW
• Al-Lateef Yancey
• Ricky Yang
• Jennifer Lynn Yanik
• Rachel Mara Yanosh, MS, LAT, ATC, EMT
• Nibras Yar Khan, MD

• Otolaryngology Physician in Newark, NJ
• Providers in Newark, NJ by specialty
• Otolaryngology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.