Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Justin Ydo, AGNP-C

Individual provider Nurse Practitioner · NPI 1043089303

Mr. Justin Ydo, AGNP-C is a Nurse Practitioner in West Orange, New Jersey. Practices as a sole proprietor. Licensed in New Jersey.

Licensed in
NJ
In the registry since
2023

Practice location Address checks out

776 Northfield Ave Ste 101
West Orange, NJ 07052-1140
Phone: (973) 324-2300
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 26NJ14981300 (NJ)

Record details

NPI number1043089303
Entity typeIndividual (Type 1)
GenderMale
Credentials AGNP-C
Sole proprietorYes
NPI enumeratedDecember 28, 2023
Last updated in NPPESAugust 1, 2024
Certification dateJuly 17, 2024

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