JUSTIN YAN
NPI 1124655022
Anesthesiology in Englewood, NJ
About Justin Yan NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JUSTIN YAN (NPI 1124655022) is an individual anesthesiology provider in Englewood, New Jersey, licensed in New Jersey (25MA12057400) and active in the NPI registry since March 2020. He is enrolled in Medicare PECOS, is affiliated with Englewood Hospital And Medical Center, and maintains a secondary practice location in Englewood.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Justin Yan is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Justin Yan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Englewood, NJ 07631
- Reassigned Medicare billing, New Jersey enrollment
- Medicare enrollment name: Northern Valley Anesthesiology PA
- 138 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Englewood Hospital And Medical Center
Acute Care Hospitals · Englewood, NJOther Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
ENGLEWOOD, NJ 07631
ENGLEWOOD, NJ 07631
ENGLEWOOD, NJ 07631
ENGLEWOOD, NJ 07631
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 Yan's NPI number?
The NPI number for Justin Yan is 1124655022. It was assigned to this individual provider in the NPPES registry on March 23, 2020.
Where is Justin Yan located?
Justin Yan practices at 350 Engle St, Englewood, NJ 07631. The listed phone number is (201) 894-3000.
What is Justin Yan's specialty?
The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.
Is Justin Yan enrolled in Medicare?
Yes. Justin Yan is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Justin Yan's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Justin Yan reassigns Medicare benefits to Northern Valley Anesthesiology, P.A. (Englewood, NJ). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Justin Yan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Justin Yan affiliated with any hospitals?
According to CMS data, Justin Yan is affiliated with Englewood Hospital And Medical Center.
When was this NPI record last updated?
The NPPES record for Justin Yan was last updated on September 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 43 days 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.
# Justin Yan · NPI 1124655022
Anesthesiology physician in Englewood, New Jersey. Individual provider, active in the CMS NPPES registry since March 23, 2020.
## Identity
- **NPI:** 1124655022 (Entity type: Individual)
- **Enumerated:** March 23, 2020
- **Primary specialty:** Anesthesiology · taxonomy 207L00000X
- **State license:** 25MA12057400 (New Jersey)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 350 ENGLE ST, Englewood, NJ 07631-1808
- **Phone:** (201) 894-3000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Northern Valley Anesthesiology, P.A. (NPI 1245289487, Englewood, NJ), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Louisiana State University School Of Medicine In New Orleans, class of 2020
## Record status
- **NPPES last updated:** September 17, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1124655022) · Data from the CMS NPPES public registry.