Individual provider Active NPI

Albert Jen-Chu Yang, MD

  • Otolaryngology Physician
  • Jacksonville, FL
National Provider Identifier
1568967206
Registry record updated Sep 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
MD495354 Issued in PA
Practice address
1361 13TH Ave S Ste 125
Jacksonville, FL 32250
Phone
(904) 249-2580
NPI assigned
Mar 26, 2018
Last updated
Sep 17, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 17, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 93802 GA
Otolaryngology Physician 207Y00000X MD495354 PA Primary
Plastic and Reconstructive Surgery Physician 2086S0122X ME165435 FL

Addresses

Primary practice location

1361 13TH Ave S Ste 125
Jacksonville, FL 32250

Mailing address

1361 13TH Ave S FL 32250
Jacksonville Beach, FL 32250-3233
Phone (904) 249-2580

Other practice location 1

1590 Island Ln Ste 28
Fleming Island, FL 32003-4409
Phone (904) 293-1692

Other practice location 2

924 Colonial Ave Ste E
York, PA 17403-3450
Phone (717) 843-9089

Other practice location 3

1701 W Charleston Blvd Ste 490
Las Vegas, NV 89102-2309
Phone (702) 671-2298

Other practice location 4

6085 Barfield Rd Ste 100
Sandy Springs, GA 30328-4403
Phone (770) 457-6303

Other practice location 5

5461 Meridian Mark Rd Ste 130
Atlanta, GA 30342-3009
Phone (404) 591-1885

Other identifiers 2

IdentifierTypeStateIssuer
93802OtherGAGEORGIA MEDICAL BOARD
ME165435OtherFLFLORIDA MEDICAL BOARD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20240710001527 FL Practitioner - Otolaryngology 6406109883 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
93802GAMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Beaches Facial and Nasal Surgery Center CurrentSince Aug 1, 2024 Accepting new patients

Locations

1361 13th Ave S
Ste 125
Jax Bch, FL 32250
Phone (904) 249-2580

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1522022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789603200000",
    "number": "1568967206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1361 13TH AVE S FL 32250",
            "city": "JACKSONVILLE BEACH",
            "state": "FL",
            "postal_code": "322503233",
            "telephone_number": "904-249-2580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1361 13TH AVE S STE 125",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "32250",
            "telephone_number": "904-249-2580"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1590 Island Ln Ste 28",
            "address_purpose": "LOCATION",
            "city": "Fleming Island",
            "state": "FL",
            "postal_code": "320034409",
            "country_code": "US",
            "telephone_number": "904-293-1692",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "924 Colonial Ave Ste E",
            "address_purpose": "LOCATION",
            "city": "York",
            "state": "PA",
            "postal_code": "174033450",
            "country_code": "US",
            "telephone_number": "717-843-9089",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1701 W Charleston Blvd Ste 490",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891022309",
            "country_code": "US",
            "telephone_number": "702-671-2298",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6085 Barfield Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Sandy Springs",
            "state": "GA",
            "postal_code": "303284403",
            "country_code": "US",
            "telephone_number": "770-457-6303",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5461 Meridian Mark Rd Ste 130",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303423009",
            "country_code": "US",
            "telephone_number": "404-591-1885",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YANG",
        "first_name": "ALBERT",
        "middle_name": "JEN-CHU",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-03-26",
        "last_updated": "2026-09-17",
        "certification_date": "2026-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "GA",
            "license": "93802",
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "PA",
            "license": "MD495354",
            "primary": true
        },
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "FL",
            "license": "ME165435",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GEORGIA MEDICAL BOARD",
            "identifier": "93802",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA MEDICAL BOARD",
            "identifier": "ME165435",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.