Individual provider Active NPI

Charles Yang, MD

  • Diagnostic Radiology Physician
  • East Brunswick, NJ
National Provider Identifier
1679736706
Registry record updated Jan 25, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
25MA07916500 Issued in NJ
Practice address
579A Cranbury Rd
East Brunswick, NJ 08816-5426
Phone
(732) 390-0040
Fax
(732) 390-1856
NPI assigned
Jul 9, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 25MA07916500 NJ Primary

Addresses

Primary practice location

579A Cranbury Rd
East Brunswick, NJ 08816-5426

Mailing address

579A Cranbury Rd
East Brunswick, NJ 08816-5426
Phone (732) 390-0040

Other identifiers 2

IdentifierTypeStateIssuer
0260550MedicaidNJ
03168870MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20100107000391 NY Practitioner - Diagnostic Radiology 1759422157 Reassigns benefits to 5 organizations
I20150921001544 NJ Practitioner - Diagnostic Radiology 1759422157 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
State University of New York Downstate Medical Center, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University Radiology Group LLCGroup PAC ID 6608868500, 239 clinicians

Practice addresses (Care Compare)

307 Aerie CT
Manhasset, NY 11030-4053
Phone (732) 390-0040

483 Cranbury Rd
East Brunswick, NJ 08816-3610
Phone 73239000402022

Hospital & facility affiliations

  • Jersey Shore University Medical Center Hospital, Neptune, NJ, CCN 310073
  • Trinitas Regional Medical Center Hospital, Elizabeth, NJ, CCN 310027
  • Robert Wood Johnson University Hospital - Somerset Hospital, Somerville, NJ, CCN 310048
  • Robert Wood Johnson University Hospital Hospital, New Brunswick, NJ, CCN 310038
  • Saint Peter'S University Hospital Hospital, New Brunswick, NJ, CCN 310070

Merit-based Incentive Payment System (MIPS)

Final score
89.93 of 100Reported as group
Quality
95.96
Improvement activities
40
Cost
73.85

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA07916500NJMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Montefiore New Rochelle Hospital CurrentSince Nov 6, 2013 Accepting new patients
Virtual Radiologic Professionals of New York, P.a. Diagnostic Radiology CurrentSince Jan 9, 2011 Accepting new patients
Jersey Shore Imaging, LLC Diagnostic Radiology CurrentSince Sep 1, 2015 Accepting new patients
Interfaith Professional Physician Services, P.C. Diagnostic Radiology CurrentSince Aug 1, 2013 Accepting new patients
Montefiore Mount Vernon Hospital CurrentSince Nov 6, 2013 Accepting new patients
University Radiology at Trinitas, LLC Diagnostic Radiology CurrentSince Sep 1, 2015 Accepting new patients
University Radiology-Atlantic, LLC Diagnostic Radiology CurrentSince Sep 1, 2015 Accepting new patients

Locations

Dept 7067
Carol Stream, IL 60122

3600 Minnesota Dr
Ste 800
Minneapolis, MN 55435
Phone (612) 595-1100

483 Cranbury Rd
East Brunswick, NJ 08816
Phone (732) 390-0030

579A Cranbury Rd
East Brunswick, NJ 08816
Phone (732) 390-0030

415 Morris Ave
Elizabeth, NJ 07208
Phone (908) 351-7600

111 Union Valley Rd
Monroe Twp, NJ 08831
Phone (609) 395-3470

10 Plum St
New Brunswick, NJ 08901
Phone (732) 235-6333

48 N Gilbert St
Tinton Falls, NJ 07701
Phone (732) 530-5750

1545 Atlantic Ave
Brooklyn, NY 11213
Phone (718) 613-4175

327 Beach 19th St
#H
Far Rockaway, NY 11691
Phone (718) 869-7000

327 Beach 19th St
Far Rockaway, NY 11691
Phone (718) 689-7640

10201 66th Rd
Forest Hills, NY 11375
Phone (718) 830-4091

12 N 7th Ave
Mount Vernon, NY 10550
Phone (914) 361-6511

16 Guion Pl
New Rochelle, NY 10801
Phone (914) 365-3680

101 Hospital Rd
Patchogue, NY 11772
Phone (631) 654-7100

Organizations & group practices 8

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.

Hospital & facility affiliations 10

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1215561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485302400000",
    "number": "1679736706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "579A CRANBURY RD",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "088165426",
            "telephone_number": "732-390-0040",
            "fax_number": "732-390-1856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "579A CRANBURY RD",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "088165426",
            "telephone_number": "732-390-0040",
            "fax_number": "732-390-1856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YANG",
        "first_name": "CHARLES",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-09",
        "last_updated": "2017-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NJ",
            "license": "25MA07916500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0260550",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03168870",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in East Brunswick, NJ

Sources for this page

Verify at the official NPI Registry.