Active NPI
Min Yang
- Physician Assistant
- Barnegat, NJ
National Provider Identifier
1912511882
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- 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, 2024
- Sex
- Female
- 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 |
|---|---|---|---|---|
| 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.