Active NPI
Ricky Yang
- Dentist
- Newark, NJ
National Provider Identifier
1639862097
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 22DI03102400
- Practice address
- 223 Bloomfield Ave
Newark, NJ 07104-1104 - Phone
- (973) 435-8100
- NPI assigned
- May 31, 2023
- Last updated
- Jul 6, 2025
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 22DI03102400 | NJ | Primary |
Addresses
Primary practice location
223 Bloomfield Ave
Newark, NJ 07104-1104
Mailing address
45 Park LN S Apt 801
Jersey City, NJ 07310-3107
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22DI03102400 | NJ | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1685491200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1751760000000",
"number": "1639862097",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "45 PARK LN S APT 801",
"city": "JERSEY CITY",
"state": "NJ",
"postal_code": "073103107"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "223 BLOOMFIELD AVE",
"city": "NEWARK",
"state": "NJ",
"postal_code": "071041104",
"telephone_number": "973-435-8100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YANG",
"first_name": "RICKY",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-05-31",
"last_updated": "2025-07-06",
"certification_date": "2025-07-06",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NJ",
"license": "22DI03102400",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Newark, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.