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YANG SHOE CORP. DBA JACOBUS SHOES NPI 1396920559


NPI Information

NPI: 1396920559
Provider Name: YANG SHOE CORP. DBA JACOBUS SHOES
Classification: Orthotist - 222Z00000X
Entity Type: Organization
Address:
101 W PALISADE AVE
ENGLEWOOD, NJ
ZIP 07631
Phone: (201) 567-3333
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YANG SHOE CORP. DBA JACOBUS SHOES is an orthotist in Englewood, NJ. The provider is a health care professional who is specifically educated and trained to manage comprehensive orthotic patient care, including musculoskeletal and neuromuscular anomalies resulting from injuries or disease processes involving the lower extremity, upper extremity or spinal segment/s and positional deformation of the cranium. Orthotists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care. YANG SHOE CORP. DBA JACOBUS SHOES NPI is 1396920559. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

101 W PALISADE AVE
ENGLEWOOD, NJ
ZIP 07631-635
Phone: (201) 567-3333
Fax: (201) 567-3084

The provider's authorized official is Yang Son Yang .
The authorized official title is Secretary and has the following contact phone number (201) 567-3333.

The enumeration date for this NPI number is 1/7/2008 and was last updated on 8/30/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1222Z00000XOrthotist21096NEW JERSEYYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
15925660001MEDICARE NSCNEW JERSEY
20136000MEDICAIDNEW JERSEY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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