Yang Shoe Corp. DBA Jacobus Shoes
Healthcare Provider in Englewood, New Jersey
1396920559- Practice location
- 101 W Palisade Ave, Englewood, NJ 07631-2635
- Phone
- 201-567-3333
- Fax
- 201-567-3084
- Last updated
- August 30, 2013
Yang Shoe Corp. DBA Jacobus Shoes is a healthcare organization based in Englewood, NJ. Yang Shoe Corp. DBA Jacobus Shoes practices in Englewood, NJ. The NPI Number for Yang Shoe Corp. DBA Jacobus Shoes is 1396920559 and holds a License No. 21096 (NJ). The current practice location address for Yang Shoe Corp. DBA Jacobus Shoes is 101 W Palisade Ave, Englewood, NJ 07631-2635 and can be reached out via phone at 201-567-3333 and via fax at 201-567-3084.
Provider Profile Details
- NPI Number
- 1396920559
- Provider Name
- Yang Shoe Corp. DBA Jacobus Shoes
- Provider Entity Type
- Organization
- Address
- 101 W Palisade Ave, Englewood, NJ 07631-2635
- Phone Number
- 201-567-3333
- Fax Number
- 201-567-3084
- Primary Taxonomy
- Healthcare Provider · 222Z00000X
- Organization Subpart
- No
- Authorized Official
- Mrs. Yang Son Yang, CPED · Secretary · 201-567-3333
- Provider Enumeration Date
- January 7, 2008
- Last Update Date
- August 30, 2013
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 101 W Palisade Ave
Englewood, NJ 07631-2635 - City
- Englewood
- State
- New Jersey
- Zip
- 07631-2635
- Phone Number
- 201-567-3333
- Fax Number
- 201-567-3084
Provider Business Mailing Address Details
- Address
- 101 W Palisade Ave
Englewood, NJ 07631-2635 - City
- Englewood
- State
- NJ
- Zip
- 07631-2635
- Phone Number
- 201-567-3333
- Fax Number
- 201-567-3084
License Information
- License Number
- 21096
- License State
- NJ
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Yang Shoe Corp. DBA Jacobus Shoes?
The NPI number of Yang Shoe Corp. DBA Jacobus Shoes is 1396920559. It was assigned on January 7, 2008 and is currently active in the NPPES registry.
What is the specialty of Yang Shoe Corp. DBA Jacobus Shoes?
Yang Shoe Corp. DBA Jacobus Shoes is registered under the primary taxonomy Healthcare Provider (code 222Z00000X), licensed in NJ under license number 21096.
Where does Yang Shoe Corp. DBA Jacobus Shoes practice?
The practice location is 101 W Palisade Ave, Englewood, NJ 07631-2635. The office can be reached at 201-567-3333 (phone) or 201-567-3084 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1396920559 directly on the NPPES registry website.