Active NPIIndividual provider

Yini Kong

Nurse Practitioner, Pediatrics in Newark, New Jersey

NPI Number1538637038
Practice location
201 Lyons Ave # L5, Newark, NJ 07112-2027
Fax
973-705-3148
Last updated
October 15, 2024

Yini Kong is a Nurse Practitioner, Pediatrics based in Newark, NJ. Yini Kong practices in Newark, NJ. The NPI Number for Yini Kong is 1538637038 and holds a License No. 382935 (NY). The current practice location address for Yini Kong is 201 Lyons Ave # L5, Newark, NJ 07112-2027 and can be reached out via phone at 973-926-7280 and via fax at 973-705-3148.

Provider Profile Details

NPI Number
1538637038
Provider Name
Yini Kong
Provider Entity Type
Individual
Gender
Female
Address
201 Lyons Ave # L5, Newark, NJ 07112-2027
Phone Number
973-926-7280
Fax Number
973-705-3148
Primary Taxonomy
Nurse Practitioner, Pediatrics · 363LP0200X
Sole Proprietor
No
Provider Enumeration Date
November 2, 2018
Last Update Date
October 15, 2024
Certification Date
October 15, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
201 Lyons Ave # L5
Newark, NJ 07112-2027
City
Newark
Zip
07112-2027
Phone Number
973-926-7280
Fax Number
973-705-3148
Newark, NJ 07112Get directions →

Provider Business Mailing Address Details

Address
1 2ND St Apt 1910
Jersey City, NJ 07302-4907
City
Jersey City
State
NJ
Zip
07302-4907
Phone Number
253-230-9071
Fax Number
973-705-3148

License Information

License Number (1)
382935
License State (1)
NY
Taxonomy (1)
Nurse Practitioner, Pediatrics · 363LP0200X
License Number (2)
26NJ14871300
License State (2)
NJ
Taxonomy (2)
Nurse Practitioner, Pediatrics · 363LP0200X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
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 Yini Kong?

The NPI number of Yini Kong is 1538637038. It was assigned on November 2, 2018 and is currently active in the NPPES registry.

What is the specialty of Yini Kong?

Yini Kong is registered under the primary taxonomy Nurse Practitioner, Pediatrics (code 363LP0200X), licensed in NY under license number 382935.

Where does Yini Kong practice?

The practice location is 201 Lyons Ave # L5, Newark, NJ 07112-2027. The office can be reached at 973-926-7280 (phone) or 973-705-3148 (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 1538637038 directly on the NPPES registry website.

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