Active NPIIndividual providerSole proprietor

Yelena Potylitsina, MD

Pediatrics in Holmdel, New Jersey

NPI Number1568592632
Practice location
702 N Beers St Ste 1, Holmdel, NJ 07733-1510
Fax
732-867-8820
Last updated
December 20, 2025

Yelena Potylitsina is a Pediatrics based in Holmdel, NJ. Yelena Potylitsina practices in Holmdel, NJ and has the professional credentials of MD. The NPI Number for Yelena Potylitsina is 1568592632 and holds a License No. 25MA08017300 (NJ). The current practice location address for Yelena Potylitsina is 702 N Beers St Ste 1, Holmdel, NJ 07733-1510 and can be reached out via phone at 732-862-0200 and via fax at 732-867-8820.

Provider Profile Details

NPI Number
1568592632
Provider Name
Yelena Potylitsina
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
702 N Beers St Ste 1, Holmdel, NJ 07733-1510
Phone Number
732-862-0200
Fax Number
732-867-8820
Primary Taxonomy
Pediatrics · 208000000X
Sole Proprietor
Yes
Other Names
Yelena Karabanova, MD (Former Name)
Provider Enumeration Date
March 6, 2007
Last Update Date
December 20, 2025
Certification Date
December 20, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
702 N Beers St Ste 1
Holmdel, NJ 07733-1510
Zip
07733-1510
Phone Number
732-862-0200
Fax Number
732-867-8820
Holmdel, NJ 07733Get directions →

Provider Business Mailing Address Details

Address
702 N Beers St Ste 1
Holmdel, NJ 07733-1510
City
Holmdel
State
NJ
Zip
07733-1510
Phone Number
732-862-0200
Fax Number
732-867-8820

License Information

License Number
25MA08017300
License State
NJ
Taxonomy
Pediatrics · 208000000X · 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 Potylitsina, MD?

The NPI number of Yelena Potylitsina, MD is 1568592632. It was assigned on March 6, 2007 and is currently active in the NPPES registry.

What is the specialty of Yelena Potylitsina, MD?

Yelena Potylitsina, MD is registered under the primary taxonomy Pediatrics (code 208000000X), licensed in NJ under license number 25MA08017300.

Where does Yelena Potylitsina, MD practice?

The practice location is 702 N Beers St Ste 1, Holmdel, NJ 07733-1510. The office can be reached at 732-862-0200 (phone) or 732-867-8820 (fax).

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 1568592632 directly on the NPPES registry website.

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