Healthcare Provider Details

I. General information

NPI: 1760355663
Provider Name (Legal Business Name): JASON AARON YEUNG MSPAS, PA-C
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/26/2025
Last Update Date: 11/07/2025
Certification Date: 11/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1401 FAIRMONT ST
WHITEHALL PA
18052-6015
US

IV. Provider business mailing address

200 SCHULZ DR STE 200
RED BANK NJ
07701-6745
US

V. Phone/Fax

Practice location:
  • Phone: 610-601-3329
  • Fax:
Mailing address:
  • Phone: 732-426-3420
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363AS0400X
TaxonomySurgical Physician Assistant
License NumberMA067372
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: