DR. BOWEN YANG (DPM) – Foot Surgery Podiatrist, NPI 1760126064

DR. BOWEN YANG (DPM) is a healthcare provider. based in Bloomfield, New Jersey. specializing in PODIATRY. They hold the professional credentials DPM. They hold a License No. 25MD00380500 (NJ). The NPI Number for DR. BOWEN YANG (DPM) is 1760126064

Main info

Male
4 Years Of Experience
Accepts Medicare Assignment
Name
DR. BOWEN YANG (DPM)
NPI
1760126064
Phone
(201) 659-5222
Address
1293 Broad St
Enumeration Date
22 April 2022
Last Update Date
2 May 2025

Doctor Profile

Medical School Name
NEW YORK COLLEGE OF PODIATRIC MEDICINE
Secondary Phone
2016595222
Graduation Year
2022 (4 years ago)
PAC ID
1254859150
Group Practice PAC ID
0244588143
Professional Enrollment ID
I20250514003248
Address ID
NJ070305630HO70XXXSTXX302
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience37
Completeness75
Years active:4State licenses:1Digital endpointsOther names

1,074 PODIATRY in NJ

Provider Addresses for DR. BOWEN YANG (DPM)

  • 1293 Broad St

    Bloomfield, NJ 070033060

    Phone: (201) 659-5222

    Fax: (201) 659-0847

    Type: Location

  • 378 Central Ave

    Jersey City, NJ 073072828

    Phone: (201) 659-5222

    Fax: (201) 659-0847

    Type: Location

  • 579 Bergen Blvd Ste 1A

    Ridgefield, NJ 076572033

    Phone: (201) 659-5222

    Fax: (201) 659-0847

    Type: Location

  • 151 E Centre St

    Bayonne, NJ 070027212

    Phone: (201) 659-5222

    Fax: (201) 659-0847

    Type: Location

  • 270-05 76TH AVE RESEARCH BUILDING C-LEVEL RM039AB

    OFFICE OF SURGICAL EDUCATION

    NEW HYDE PARK, NY 11040

    Phone: (718) 470-4475

    Fax: (718) 962-2239

    Type: Mailing

  • 70 HUDSON ST BSMT

    HOBOKEN, NJ 070305630

    Phone: (201) 659-5222

    Fax: (201) 659-0847

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-05-14

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250514003248IPodiatryNJTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 07003)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0244588143View full group profile
NameSpecialtyState
P O D I A T R YNJ
P O D I A T R YNJ
P O D I A T R YNJ

Reviews

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Frequently asked questions

Is there an official ID for DR. BOWEN YANG (DPM) in U.S. healthcare records?
The official identifier for DR. BOWEN YANG (DPM) is NPI 1760126064.
Is there an active status for DR. BOWEN YANG (DPM)?
For scheduling context, DR. BOWEN YANG (DPM) is shown as active in the registry.
What expertise is attributed to DR. BOWEN YANG (DPM)?
DR. BOWEN YANG (DPM)'s specialty line reads Foot Surgery Podiatrist. Clinical services aligned with this taxonomy classification.
Is DR. BOWEN YANG (DPM) associated with Bloomfield?
Public fields place DR. BOWEN YANG (DPM) around Bloomfield, New Jersey. Always confirm the exact site before visiting.
When was this NPI issued?
Enumeration for DR. BOWEN YANG (DPM) is noted as April 22, 2022 where the registry provides it.

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