Active NPI
Hyohyun Jang
- Family Nurse Practitioner
- Maplewood, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 95031362
- Practice address
- 2010 Springfield Ave
#101
Maplewood, NJ 07040-3437 - Phone
- (973) 275-9500
- NPI assigned
- Jan 12, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 26NJ00696800 | NJ | |
| Family Nurse Practitioner | 363LF0000X | 95031362 | CA | Primary |
Addresses
Primary practice location
2010 Springfield Ave
#101
Maplewood, NJ 07040-3437
Mailing address
2010 Springfield Ave
#101
Maplewood, NJ 07040
Phone (973) 275-9500
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Enloe Medical Center | Current | Accepting new patients | |
| Enloe Medical Center | Current | Accepting new patients | |
| Lansing Cardiovascular Consultants PC | Current | Accepting new patients | |
| Enloe Medical Center | Current | Accepting new patients |
Locations
1390 E Lassen Ave
Chico, CA 95973
Phone (530) 332-6332
185 E 7th Ave
Chico, CA 95926
Phone (530) 332-4400
2380 Cedar St
Holt, MI 48842
Phone (517) 349-3303
3413 Woods Edge
Okemos, MI 48864
Phone (517) 349-3303
Interoperability endpoints
- https://fhir.meditouchehr.com/api/fhir/r4/
Organizations & group practices 4
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.
-
dba Enloe Cardiology Services
- Cardiovascular Disease Physician
- Chico, CA
- NPI 1720099328
-
dba Enloe Op Center Pharmacy
- Community/Retail Pharmacy
- Chico, CA
- NPI 1912949538
-
- Nuclear Cardiology Physician
- Okemos, MI
- NPI 1548301880
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1484179200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722297600000",
"number": "1487190633",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2010 SPRINGFIELD AVE",
"address_2": "#101",
"city": "MAPLEWOOD",
"state": "NJ",
"postal_code": "07040",
"telephone_number": "973-275-9500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2010 SPRINGFIELD AVE",
"address_2": "#101",
"city": "MAPLEWOOD",
"state": "NJ",
"postal_code": "070403437",
"telephone_number": "973-275-9500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JANG",
"first_name": "HYOHYUN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-01-12",
"last_updated": "2024-07-30",
"certification_date": "2024-07-30",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NJ",
"license": "26NJ00696800",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "95031362",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Maplewood, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2024; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.