Individual provider Active NPI

Michael P. Yoong, MD

  • Family Medicine Physician
  • Millville, NJ
National Provider Identifier
1972564227
Registry record updated Sep 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
25MA03592200 Issued in NJ
Practice address
1 Heron LN
Millville, NJ 08332-2311
Phone
(856) 825-4120
Fax
(856) 825-4120
NPI assigned
Mar 28, 2006
Last updated
Sep 8, 2014By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 8, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 25MA03592200 NJ Primary
General Practice Physician 208D00000X 25MA03592200 NJ

Addresses

Primary practice location

1 Heron LN
Millville, NJ 08332-2311

Mailing address

1 Heron LN
Millville, NJ 08332-2311
Phone (856) 825-4120

Other identifiers 1

IdentifierTypeStateIssuer
1623907MedicaidNJ

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
I20140304000258 NJ Practitioner - Family PracticePractitioner - General Practice 8820111412 Practice locations: Vineland, NJ

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA03592200NJMDFamily Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1143504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410134400000",
    "number": "1972564227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 HERON LN",
            "city": "MILLVILLE",
            "state": "NJ",
            "postal_code": "083322311",
            "telephone_number": "856-825-4120",
            "fax_number": "856-825-4120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 HERON LN",
            "city": "MILLVILLE",
            "state": "NJ",
            "postal_code": "083322311",
            "telephone_number": "856-825-4120",
            "fax_number": "856-825-4120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOONG",
        "first_name": "MICHAEL",
        "middle_name": "P.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-28",
        "last_updated": "2014-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MA03592200",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NJ",
            "license": "25MA03592200",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1623907",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Millville, NJ

Sources for this page

Verify at the official NPI Registry.