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MR. JUSTIN YDO AGNP-C
NPI 1043089303
Nurse Practitioner in West Orange, NJ

Active since December 28, 2023
776 NORTHFIELD AVE STE 101, WEST ORANGE, NJ 07052(973) 324-2300 Get Directions Write a Review

NPPES record last updated: August 1, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Justin Ydo Agnp-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. JUSTIN YDO AGNP-C (NPI 1043089303) is an individual nurse practitioner in West Orange, New Jersey, licensed in New Jersey (26NJ14981300) and active in the NPI registry since December 2023.

NPPES Registry Identity

NPI1043089303
Entity TypeIndividualMale
Primary Taxonomy363L00000X
Provider Legal NameMR. JUSTIN YDOCredential: AGNP-C
Location Address776 NORTHFIELD AVE STE 101West Orange, NJ 07052-1140
Mailing Address776 Northfield Ave Ste 101West Orange, NJ 07052-1140 · (908) 315-9055
Phone(973) 324-2300
Sole ProprietorYes
Enumeration DateDecember 28, 2023
Last NPPES UpdateAugust 1, 2024
NPPES CertifiedJuly 17, 2024
✔ NPI 1043089303 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in NJ · 26NJ14981300
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
776 NORTHFIELD AVE STE 101, West Orange, NJ 07052
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Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KERD PAIN MANAGEMENT PRACTICE
Pain Medicine (Interventional Pain Medicine)
776 NORTHFIELD AVE STE 101
WEST ORANGE, NJ 07052
Essex County (347) 228-1065
INFINIHEALTH MEDICAL GROUP
Anesthesiology
776 NORTHFIELD AVE STE 101
WEST ORANGE, NJ 07052
Essex County (973) 324-0400

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Justin Ydo's NPI number?

The NPI number for Justin Ydo is 1043089303. It was assigned to this individual provider in the NPPES registry on December 28, 2023.

Where is Justin Ydo located?

Justin Ydo practices at 776 Northfield Ave Ste 101, West Orange, NJ 07052. The listed phone number is (973) 324-2300.

What is Justin Ydo's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Justin Ydo was last updated on August 1, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.