Yang Shoe Corp. DBA Jacobus Shoes
NPI 1396920559ActiveOrganization· Orthotist· Englewood, NJ
Orthotist in Englewood, New Jersey, registered in NPPES in January 2008. The authorized official on file is Yang Son Yang, CPED, Secretary. Enrolled in Medicare as dme supplier - medical supply company.
Overview
| NPI | 1396920559 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 7, 2008 |
| Last updated in NPPES | Aug 30, 2013 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Orthotist Primary | 222Z00000X | 21096 | NJ |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled DME Supplier - Medical Supply Company (NJ) |
|---|
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