Active NPI
John Y Yang, MD
- Neurology Physician
- Maple Shade, NJ
National Provider Identifier
1659322766
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- MA040650
- Practice address
- 504 Route 38 East
Maple Shade, NJ 08052 - Phone
- (856) 866-0466
- Fax
- (856) 727-1483
- NPI assigned
- May 13, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | MA040650 | NJ | Primary |
Addresses
Primary practice location
504 Route 38 East
Maple Shade, NJ 08052
Mailing address
504 Route 38 East
Maple Shade, NJ 08052
Phone (856) 866-0466
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3863905 | Medicaid | NJ |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA040650 | NJ | MD | Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Neurological Regional Associates, P.a. | Neurology | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Neurology Physician
- Maple Shade, NJ
- NPI 1588733240
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147478400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1185753600000",
"number": "1659322766",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "504 ROUTE 38 EAST",
"city": "MAPLE SHADE",
"state": "NJ",
"postal_code": "08052",
"telephone_number": "856-866-0466",
"fax_number": "856-727-1483"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "504 ROUTE 38 EAST",
"city": "MAPLE SHADE",
"state": "NJ",
"postal_code": "08052",
"telephone_number": "856-866-0466",
"fax_number": "856-727-1483"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YANG",
"first_name": "JOHN",
"middle_name": "Y",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-13",
"last_updated": "2007-07-30",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "NJ",
"license": "MA040650",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3863905",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Maple Shade, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.