Individual provider Active NPI

Min Yang

  • Physician Assistant
  • Barnegat, NJ
National Provider Identifier
1912511882
Registry record updated Sep 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
175 Gunning River Rd
Barnegat, NJ 08005-1436
Phone
(609) 660-0002
Fax
(609) 660-0003
NPI assigned
Sep 8, 2020
Last updated
Sep 19, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X NU Primary

Addresses

Primary practice location

175 Gunning River Rd
Barnegat, NJ 08005-1436

Mailing address

175 Gunning River Rd
Barnegat, NJ 08005-1436
Phone (609) 660-0002

Other practice location 1

1076 Rolling Forest Ct
Lilburn, GA 30047-8931
Phone (202) 263-9254

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
Physician Assistant

NPI Registry JSON

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

{
    "created_epoch": "1599523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726704000000",
    "number": "1912511882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 GUNNING RIVER RD",
            "city": "BARNEGAT",
            "state": "NJ",
            "postal_code": "080051436",
            "telephone_number": "609-660-0002",
            "fax_number": "609-660-0003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 GUNNING RIVER RD",
            "city": "BARNEGAT",
            "state": "NJ",
            "postal_code": "080051436",
            "telephone_number": "609-660-0002",
            "fax_number": "609-660-0003"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1076 Rolling Forest Ct",
            "address_purpose": "LOCATION",
            "city": "Lilburn",
            "state": "GA",
            "postal_code": "300478931",
            "country_code": "US",
            "telephone_number": "202-263-9254",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YANG",
        "first_name": "MIN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-08",
        "last_updated": "2024-09-19",
        "certification_date": "2024-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Barnegat, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2024; 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.