Basic Information
| Provider Information | |||||||||
| NPI: | 1285696559 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | YONG | ||||||||
| FirstName: | JINGHONG | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 3 COOPER PLZ | ||||||||
| Address2: | SUITE 502 | ||||||||
| City: | CAMDEN | ||||||||
| State: | NJ | ||||||||
| PostalCode: | 081031438 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8569687433 | ||||||||
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| Practice Location | |||||||||
| Address1: | 1 COOPER PLZ | ||||||||
| Address2: | COOPER ANESTHESIA ASSOCIATES | ||||||||
| City: | CAMDEN | ||||||||
| State: | NJ | ||||||||
| PostalCode: | 081031461 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8563422425 | ||||||||
| FaxNumber: | 8569688326 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 04/04/2006 | ||||||||
| LastUpdateDate: | 05/16/2008 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207L00000X | 25MA06805900 | NJ | Y | Allopathic & Osteopathic Physicians | Anesthesiology |
ID Information
| ID | Type | State | Issuer | Description | 2342395 | 01 | NJ | UNITED HEALTH CARE | OTHER | 60028020 | 01 | NJ | HORIZON NJ HEALTH | OTHER | 01077797700 | 01 | NJ | AMERICHOICE | OTHER | 8181900 | 05 | NJ | MEDICAID | 1345390 | 01 | NJ | AETNA | OTHER | 60028019 | 01 | NJ | HORIZON NJ HEALTH | OTHER | 1345391 | 01 | NJ | AETNA | OTHER | 1487287 | 01 | NJ | CIGNA | OTHER | 81819000 | 05 | NJ | MEDICAID | P3721969 | 01 | NJ | OXFORD | OTHER | 0781821000 | 01 | NJ | AMERIHEALTH/KEYSTONE/IBC | OTHER |