Yang Son Yang, CPED

Primary specialty

OrthotistTaxonomy code 222Z00000X

License

21096 Issued in NJ

Practice address

101 W Palisade Ave
Englewood, NJ 07631

Phone

(201) 567-3333

Fax

(201) 567-3084

NPI assigned

Mar 2, 2007

Last updated

Dec 7, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Yang Shoe Corp. Dba Jacobus Shoes

  • Orthotist
  • Englewood, NJ
  • NPI 1396920559
  NPD Authorized official

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

{
    "created_epoch": "1172793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196985600000",
    "number": "1659400273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 W PALISADE AVE",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "07631",
            "telephone_number": "201-567-3333",
            "fax_number": "201-567-3084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 W PALISADE AVE",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "07631",
            "telephone_number": "201-567-3333",
            "fax_number": "201-567-3084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YANG",
        "first_name": "YANG",
        "middle_name": "SON",
        "name_prefix": "Mrs.",
        "credential": "CPED",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-02",
        "last_updated": "2007-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "222Z00000X",
            "taxonomy_group": "",
            "desc": "Orthotist",
            "state": "NJ",
            "license": "21096",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0136000",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ya Hsin Wu, PA
• Charles Michael Wuhl, MD
• Eva Yacobi, ND
• Justin Yan
• Yang Shoe Corp. Dba Jacobus Shoes
• Kevin C. Yao, M.D.
• Jacqueline Yashayev
• Julie B. Yates, LCSW-R, CASAC
• Sheng Huan Ye, MD
• Yee Medicine & Pediatric Associates, PC

• Orthotist in Englewood, NJ
• Providers in Englewood, NJ by specialty
• Orthotist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 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.

Verify at the official NPI Registry.