Individual ProviderJimmy YangNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address317 George St Ste 100, New Brunswick, NJ 08901-2047(732) 235-8993PECOS EnrollmentBased on the most recent information from CMS, provider Jimmy Yang is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 5 days ago.Profile DetailsProvider ID1114669942Provider TypeIndividualFull NameYang, JimmyTitleMr.CredentialAPNGenderMaleSole ProprietorNoEnumeration Date4/12/2022Last Updated4/12/2022Contact InformationPractice LocationPractice Address317 George St Ste 100, New Brunswick, NJ 08901-2047Phone(732) 235-8993Fax(732) 246-7317Mailing LocationMailing Address317 George St Ste 100, New Brunswick, NJ 08901-2047Phone(732) 235-8993Fax(732) 246-7317Provider TaxonomiesCodeDescriptionLicenseCode363LF0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicense26NJ01272800New Jersey