Individual provider Active NPI

Yiling Yao, NP-C

  • Nurse Practitioner
  • Florham Park, NJ
National Provider Identifier
1992246839
Registry record updated Mar 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
26NJ00685500 Issued in NJ
Practice address
83 Hanover Rd Ste 290
Florham Park, NJ 07932-1520
Phone
(973) 736-2212
Fax
(973) 736-2989
NPI assigned
Mar 11, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 26NJ00685500 NJ Primary

Addresses

Primary practice location

83 Hanover Rd Ste 290
Florham Park, NJ 07932-1520

Mailing address

83 Hanover Rd Ste 290
Florham Park, NJ 07932-1520
Phone (973) 736-2212

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170724001730 NJ Practitioner - Nurse Practitioner 9739459868 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Yes Wellness PAGroup PAC ID 2062756166, 6 clinicians
Northeast Kidney Care LLCGroup PAC ID 8921445032, 66 clinicians

Practice addresses (Care Compare)

135 S Ctr St
Alaris Health at St Marys
Orange, NJ 07050-3522
Phone (877) 567-0402

83 Hanover Rd
Suite 290
Florham Park, NJ 07932-1520
Phone (973) 736-2212

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
26NJ00685500NJMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Yes Wellness PA CurrentSince Aug 10, 2021 Accepting new patients
Nephrological Associates, PA CurrentSince May 27, 2017 Accepting new patients
Northeast Kidney Care LLC CurrentSince Apr 1, 2024 Accepting new patients

Locations

3155 State Route 10
Ste 104
Denville, NJ 07834
Phone (862) 397-4577

83 Hanover Rd
Ste 290
Florham Park, NJ 07932
Phone (973) 259-0278

50 Harrison St
Ste 212F
Hoboken, NJ 07030
Phone (201) 484-8950

38 Freneau Ave
Matawan, NJ 07747
Phone (732) 765-5600

135 S Center St
Orange, NJ 07050
Phone (973) 266-3000

201 Laurel Oak Rd
#B
Voorhees, NJ 08043
Phone (856) 566-5478

Interoperability endpoints

  • Direct secure messaging: yyao24460@direct.acumenmd.com

Organizations & group practices 3

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": "1489190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489190400000",
    "number": "1992246839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "83 HANOVER RD STE 290",
            "city": "FLORHAM PARK",
            "state": "NJ",
            "postal_code": "079321520",
            "telephone_number": "973-736-2212",
            "fax_number": "973-736-2989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "83 HANOVER RD STE 290",
            "city": "FLORHAM PARK",
            "state": "NJ",
            "postal_code": "079321520",
            "telephone_number": "973-736-2212",
            "fax_number": "973-736-2989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YAO",
        "first_name": "YILING",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-11",
        "last_updated": "2017-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NJ",
            "license": "26NJ00685500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Florham Park, NJ

Sources for this page

Verify at the official NPI Registry.