Yini Kong, | |
201 Lyons Ave # L5, Newark, NJ 07112-2027 | |
(973) 926-7280 | |
(973) 705-3148 |
Full Name | Yini Kong |
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Gender | Female |
Speciality | Nurse Practitioner - Pediatrics |
Location | 201 Lyons Ave # L5, Newark, New Jersey |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1538637038 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP0200X | Nurse Practitioner - Pediatrics | 382935 (New York) | Secondary |
363LP0200X | Nurse Practitioner - Pediatrics | 26NJ14871300 (New Jersey) | Primary |
Entity Name | Barnabas Health Medical Group Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1841557246 PECOS PAC ID: 9537316955 Enrollment ID: O20120820000951 |
Mailing Address | Practice Location Address |
---|---|
Yini Kong, 1 2nd St Apt 1910, Jersey City, NJ 07302-4907 Ph: (253) 230-9071 | Yini Kong, 201 Lyons Ave # L5, Newark, NJ 07112-2027 Ph: (973) 926-7280 |
Mr. Michael C Cadorette, ANP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1 Gateway Ctr Ste 2600, Newark, NJ 07102 Phone: 866-949-0108 | |
Casey Yeonjoo Cho, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 201 Lyons Ave, Newark, NJ 07112 Phone: 973-926-6938 | |
Amalia Zuna, DNP, CPNP-AC/PC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 201 Lyons Ave, Newark, NJ 07112 Phone: 973-926-7000 | |
Mrs. Kisha Tamara Anderson, APN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 151 Washington St, Newark, NJ 07102 Phone: 973-622-3900 Fax: 973-622-1698 | |
Sabitri Nesbitt, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 151 Washington St, Newark, NJ 07102 Phone: 973-622-3900 Fax: 973-622-1698 | |
Marva Monique, Natasha Barbour, APN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 394 University Ave, Newark, NJ 07102 Phone: 973-877-6171 | |
Debra J Brouwer, APN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 201 Lyons Ave, Newark, NJ 07112 Phone: 973-926-7000 |