Provider Demographics
NPI:1740203520
Name:YE, SHENG HUAN (MD)
Entity Type:Individual
Prefix:DR
First Name:SHENG
Middle Name:HUAN
Last Name:YE
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 1:370 GRAND AVE
Mailing Address - Street 2:STE 102
Mailing Address - City:ENGLEWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:07631-4109
Mailing Address - Country:US
Mailing Address - Phone:201-567-3370
Mailing Address - Fax:201-816-1265
Practice Address - Street 1:370 GRAND AVE
Practice Address - Street 2:STE 102
Practice Address - City:ENGLEWOOD
Practice Address - State:NJ
Practice Address - Zip Code:07631-4109
Practice Address - Country:US
Practice Address - Phone:201-567-3370
Practice Address - Fax:201-816-1265
Is Sole Proprietor?:No
Enumeration Date:2006-07-25
Last Update Date:2016-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA06781100207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJMA67811OtherMEDICAL LICENSE
NJ017534L4SMedicare ID - Type Unspecified
NJMA67811OtherMEDICAL LICENSE