Individual provider Active NPI

Chen Ya Huang, M.D.

  • Family Medicine Physician
  • Flanders, NJ
National Provider Identifier
1801901202
Registry record updated Jul 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
25MA02822400 Issued in NJ
Practice address
270 Highway 206
Flanders, NJ 07836-9082
Phone
(973) 584-0233
Fax
(973) 584-0037
NPI assigned
Aug 19, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 23, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 25MA02822400 NJ Primary

Addresses

Primary practice location

270 Highway 206
Flanders, NJ 07836-9082

Mailing address

270 Route 206, Bartley Square
Flanders, NJ 07836
Phone (973) 584-0233

Other identifiers 1

IdentifierTypeStateIssuer
0108779001OtherNJAMERIHEALTH

Other names 1

  • Jacob Chen Ya Huang Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20100420000019 NJ Practitioner - Family Practice 6901933258 Reassigns benefits to 1 organization
Practice locations: Flanders, NJ

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA02822400NJMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
State of New Jersey Omb Centralized Payroll CurrentSince Mar 18, 2019 Accepting new patients
State of New Jersey Omb Centralized Payroll CurrentSince Mar 18, 2019 Accepting new patients

Locations

40 Pittstown Rd
Clinton, NJ 08809
Phone (908) 730-1301

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1155945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1248307200000",
    "number": "1801901202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "270 ROUTE 206, BARTLEY SQUARE",
            "city": "FLANDERS",
            "state": "NJ",
            "postal_code": "07836",
            "telephone_number": "973-584-0233",
            "fax_number": "973-584-0037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "270 HIGHWAY 206",
            "city": "FLANDERS",
            "state": "NJ",
            "postal_code": "078369082",
            "telephone_number": "973-584-0233",
            "fax_number": "973-584-0037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUANG",
        "first_name": "CHEN YA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-19",
        "last_updated": "2009-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MA02822400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH",
            "identifier": "0108779001",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JACOB",
            "last_name": "HUANG",
            "middle_name": "CHEN YA",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Flanders, NJ

Sources for this page

Verify at the official NPI Registry.