Provider Demographics
NPI:1285696559
Name:YONG, JINGHONG (MD)
Entity type:Individual
Prefix:
First Name:JINGHONG
Middle Name:
Last Name:YONG
Suffix:
Gender:F
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:856-968-7433
Mailing Address - Fax:
Practice Address - Street 1:1 COOPER PLZ
Practice Address - Street 2:COOPER ANESTHESIA ASSOCIATES
Practice Address - City:CAMDEN
Practice Address - State:NJ
Practice Address - Zip Code:08103-1461
Practice Address - Country:US
Practice Address - Phone:856-342-2425
Practice Address - Fax:856-968-8326
Is Sole Proprietor?:No
Enumeration Date:2006-04-04
Last Update Date:2008-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA06805900207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ2342395OtherUNITED HEALTH CARE
NJ60028020OtherHORIZON NJ HEALTH
NJ01077797700OtherAMERICHOICE
NJ8181900Medicaid
NJ1345390OtherAETNA
NJ60028019OtherHORIZON NJ HEALTH
NJ1345391OtherAETNA
NJ1487287OtherCIGNA
NJ81819000Medicaid
NJP3721969OtherOXFORD
NJ0781821000OtherAMERIHEALTH/KEYSTONE/IBC
NJ1345391OtherAETNA
NJ0781821000OtherAMERIHEALTH/KEYSTONE/IBC
NJ60028019OtherHORIZON NJ HEALTH
NJ1487287OtherCIGNA