Healthcare Provider Details

I. General information

NPI: 1841301637
Provider Name (Legal Business Name): RAYSON C YANG M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/31/2006
Last Update Date: 08/22/2024
Certification Date: 08/22/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9 MULE RD STE E1
TOMS RIVER NJ
08755-5052
US

IV. Provider business mailing address

35 BEAVERSON BLVD STE 8C
BRICK NJ
08723-7861
US

V. Phone/Fax

Practice location:
  • Phone: 732-281-1101
  • Fax: 732-281-1105
Mailing address:
  • Phone: 732-262-4262
  • Fax: 732-262-4317

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number228516
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number25MA08560000
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: