Active NPI
Jing-Jing Yang, MD
- Anatomic Pathology & Clinical Pathology Physician
- Ny, NY
National Provider Identifier
1528371002
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- #390200000X
- Practice address
- First Ave. at 16TH St
Beth Israel Medical Center
Ny, NY 10003 - Phone
- (732) 986-2694
- NPI assigned
- Jul 26, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | #390200000X | NY | Primary |
Addresses
Primary practice location
First Ave. at 16TH St
Beth Israel Medical Center
Ny, NY 10003
Mailing address
27 N 6TH Ave.
Highland Park, NJ 08904
Phone (732) 986-2694
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| #390200000X | NY | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Montclair Breast Center PC | Current | Accepting new patients | |
| Icon Pathology Laboratory, LLC | Past | Accepting new patients |
Locations
37 N Fullerton Ave
Ste 2
Montclair, NJ 07042
Phone (973) 509-1818
Organizations & group practices 2
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.
-
- Surgery Physician
- Montclair, NJ
- NPI 1053367334
-
- Clinical Medical Laboratory
- Edison, NJ
- NPI 1922258722
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1280102400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1334102400000",
"number": "1528371002",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "27 N 6TH AVE.",
"city": "HIGHLAND PARK",
"state": "NJ",
"postal_code": "08904",
"telephone_number": "732-986-2694"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "FIRST AVE. AT 16TH ST",
"address_2": "BETH ISRAEL MEDICAL CENTER",
"city": "NY",
"state": "NY",
"postal_code": "10003",
"telephone_number": "732-986-2694"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YANG",
"first_name": "JING-JING",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-07-26",
"last_updated": "2012-04-11",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "NY",
"license": "#390200000X",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ny, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2012; 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.