YANG SHOE CORP. DBA JACOBUS SHOES
NPI 1396920559
Orthotist in Englewood, NJ

NPI Status: Active since January 07, 2008

Contact Information

101 W PALISADE AVE
ENGLEWOOD, NJ
ZIP 07631
Phone: (201) 567-3333
Fax: (201) 567-3084

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  • Organization
  • Orthotist
  • Accepts Insurance
  • Medicare Supplier
  • Does Not Accept Medicare Approved Payment

About YANG SHOE CORP. DBA JACOBUS SHOES

This page provides the complete NPI Profile along with additional information for Yang Shoe Corp. Dba Jacobus Shoes, a provider established in Englewood, New Jersey operating as a Orthotist. The healthcare provider is registered in the NPI registry with number 1396920559 assigned on January 2008. The practitioner's primary taxonomy code is 222Z00000X with license number 21096 (NJ). The provider is registered as an organization and their NPI record was last updated 13 years ago. Yang Shoe Corp. Dba Jacobus Shoes operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Mrs. Yang Son Yang Cped (Secretary)

NPI
1396920559
Provider Name
YANG SHOE CORP. DBA JACOBUS SHOES
Entity Type
Organization
Location Address
101 W PALISADE AVE ENGLEWOOD, NJ 07631
Location Phone
(201) 567-3333
Location Fax
(201) 567-3084
Mailing Address
101 W PALISADE AVE ENGLEWOOD, NJ 07631
Mailing Phone
(201) 567-3333
Mailing Fax
(201) 567-3084
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-07-2008
Last Update Date
08-30-2013
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Yang Shoe Corp. Dba Jacobus Shoes is a medicare supplier with PTAN 20565803 who does not accept Medicare assignment for all durable medical equipment and supplies. The provider may not accept the Medicare allowable as payment in full and may collect additional payment directly from the patient, and/or charge more than the Medicare allowable.The supplier carries the following product categories: Orthoses: Custom Fabricated or Orthoses: Prefabricated (Non-Custom Fabricated) or Orthoses: Off-The-Shelf or Limb Prostheses or Diabetic Shoes and Inserts or Diabetic Shoes/Inserts - Custom.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Orthotist

Taxonomy Code
222Z00000X
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
License No.
21096
License State
NJ
Taxonomy Description
A health care professional who is specifically educated and trained to manage comprehensive orthotic patient care, including musculoskeletal and neuromuscular anomalies resulting from injuries or disease processes involving the lower extremity, upper extremity or spinal segment/s and positional deformation of the cranium. Orthotists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care.

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Complete Gold - HMO
  • Complete Gold + Vision + Adult Dental - HMO
  • Elite Bronze - HMO
  • Elite Bronze + Vision + Adult Dental - HMO
  • Everyday Bronze - HMO
  • Everyday Bronze + Vision + Adult Dental - HMO
  • Everyday Gold - HMO
  • Everyday Gold + Vision + Adult Dental - HMO
  • Focused Silver - HMO
  • Focused Silver + Vision + Adult Dental - HMO
  • Standard Expanded Bronze - HMO
  • Standard Expanded Bronze + Vision + Adult Dental - HMO
  • Standard Gold - HMO
  • Standard Gold + Vision + Adult Dental - HMO
  • Standard Silver - HMO
  • Standard Silver + Vision + Adult Dental - HMO
  • Clear Gold - EPO
  • Clear Gold + Vision + Adult Dental - EPO
  • Complete Gold - EPO
  • Complete Gold + Vision + Adult Dental - EPO
  • Elite Silver - EPO
  • Elite Silver + Vision + Adult Dental - EPO
  • Everyday Bronze - EPO
  • Everyday Bronze + Vision + Adult Dental - EPO
  • Focused Silver - EPO
  • Focused Silver + Vision + Adult Dental - EPO
  • Principal Bronze HSA - EPO
  • Principal Bronze HSA + Vision + Adult Dental - EPO
  • Standard Expanded Bronze - EPO
  • Standard Expanded Bronze + Vision + Adult Dental - EPO
  • Standard Gold - EPO
  • Standard Gold + Vision + Adult Dental - EPO
  • Standard Silver - EPO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MRS. YANG SON YANG CPED

Authorized Official Title
SECRETARY
Authorized Official Phone
(201) 567-3333

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
5925660001MEDICARE NSC (07)NJ 
0136000MEDICAID (05)NJ 

Medical Equipment Supplier

The provider carries the following medical supplies product categories:

PTAN
20565803
Accepts Medicare Assignment
NO
Specialities List
Medical Supply Company Other, MSC With Orthotic-Prosthetic.
Competitive Bidding
NO

Supplies List

  • Orthoses: Custom Fabricated - Custom met pads, Custom heel pads, Custom heel spur pads
  • Orthoses: Prefabricated (Non-Custom Fabricated) - Met pads, Heel pads, Heel spur pads
  • Orthoses: Off-The-Shelf - Met pads, Heel pads, Heel spur pads
  • Limb Prostheses - Prosthetic arms, Prosthetic feet, Prosthetic knees
  • Diabetic Shoes and Inserts - Shoes, Socks, Insoles
  • Diabetic Shoes/Inserts - Custom - Custom fabricated shoes, socks, & insoles

Reviews for YANG SHOE CORP. DBA JACOBUS SHOES

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1396920559, we treat the final digit (9) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 61. The final step is to find the difference between that total and the next multiple of ten (70 - 61 = 9).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
3
Unchanged
Pos 3
9
Doubled → 18 → 1 + 8
Pos 4
6
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
2
Unchanged
Pos 7
0
Doubled → 0
Pos 8
5
Unchanged
Pos 9
5
Doubled → 10 → 1 + 0
Check
9
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 9 → 18 → 9 9 → 18 → 9 0 → 0 5 → 10 → 1

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 3 + 1 + 8 + 6 + 1 + 8 + 2 + 0 + 5 + 1 + 0 + 24 = 61

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 61 is 70. The difference is the calculated check digit.

70 - 61 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1396920559.

Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Orthotist
101 W PALISADE AVE
ENGLEWOOD, NJ 07631
Custodial Care Facility (Adult Care Home)
101 W PALISADE AVE
ENGLEWOOD, NJ 07631

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1396920559, enumerated as an "organization" on January 07, 2008.

The provider is located at 101 W PALISADE AVE ENGLEWOOD, NJ 07631 and the phone number is (201) 567-3333.

Orthotist with taxonomy code 222Z00000X.

The provider might be accepting Accepts: Ambetter Health, Ambetter Health of Delaware,. Please consult your insurance carrier or call the provider to verify.