Active NPIIndividual providerSole proprietor

Yelena Berlin

Physician Assistant in Montclair, New Jersey

NPI Number1033383823
Practice location
1 Bay Ave, Montclair, NJ 07042-4837
Fax
—
Last updated
May 15, 2015

Yelena Berlin is a Physician Assistant based in Montclair, NJ. Yelena Berlin practices in Montclair, NJ. The NPI Number for Yelena Berlin is 1033383823 and holds a License No. 012497 (NY). The current practice location address for Yelena Berlin is 1 Bay Ave, Montclair, NJ 07042-4837 and can be reached out via phone at 973-429-6000.

Provider Profile Details

NPI Number
1033383823
Provider Name
Yelena Berlin
Provider Entity Type
Individual
Gender
Female
Address
1 Bay Ave, Montclair, NJ 07042-4837
Phone Number
973-429-6000
Primary Taxonomy
Physician Assistant · 363A00000X
Sole Proprietor
Yes
Provider Enumeration Date
April 14, 2008
Last Update Date
May 15, 2015
NPI Status
Active

Provider Business Practice Location Address Details

Address
1 Bay Ave
Montclair, NJ 07042-4837
Zip
07042-4837
Phone Number
973-429-6000
Montclair, NJ 07042Get directions →

Provider Business Mailing Address Details

Address
1 Bay Ave
Montclair, NJ 07042-4837
City
Montclair
State
NJ
Zip
07042-4837
Phone Number
973-429-6000

License Information

License Number
012497
License State
NY
Taxonomy
Physician Assistant · 363A00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Yelena Berlin?

The NPI number of Yelena Berlin is 1033383823. It was assigned on April 14, 2008 and is currently active in the NPPES registry.

What is the specialty of Yelena Berlin?

Yelena Berlin is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in NY under license number 012497.

Where does Yelena Berlin practice?

The practice location is 1 Bay Ave, Montclair, NJ 07042-4837. The office can be reached at 973-429-6000 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1033383823 directly on the NPPES registry website.

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