Provider Demographics
NPI:1730164542
Name:YANG, JUN (MD)
Entity type:Individual
Prefix:
First Name:JUN
Middle Name:
Last Name:YANG
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3 COOPER PLZ
Mailing Address - Street 2:SUITE 502
Mailing Address - City:CAMDEN
Mailing Address - State:NJ
Mailing Address - Zip Code:08103-1438
Mailing Address - Country:US
Mailing Address - Phone:856-342-2921
Mailing Address - Fax:
Practice Address - Street 1:1 COOPER PLZ
Practice Address - Street 2:THE HOSPITALIST TEAM
Practice Address - City:CAMDEN
Practice Address - State:NJ
Practice Address - Zip Code:08103-1461
Practice Address - Country:US
Practice Address - Phone:856-342-3150
Practice Address - Fax:856-968-8418
Is Sole Proprietor?:No
Enumeration Date:2005-12-14
Last Update Date:2021-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA072845207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
3K6202OtherHEALTHNET
6208438OtherCIGNA
P00416051OtherRR MEDICARE
010777786OtherAMERICHOICE
60024338OtherHORIZON NJ HEALTH
1316685OtherAETNA
NJ8875801Medicaid
36975OtherUNIVERSITY HEALTHPLAN
2114204000OtherAMERIHEALTH, HMO, PPO, KEYSTONE
2210092OtherUNITED HEALTHCARE
NJH57903Medicare UPIN
NJ056600 B67Medicare PIN