Organization Active NPI

Yelena Birger DO PC

  • Internal Medicine Physician
  • Manalapan, NJ
National Provider Identifier
1023569027
Registry record updated Oct 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25MB07663700 Issued in NJ
Legal business name
YELENA BIRGER DO PC
Practice address
300 Craig Rd Ste 208
Manalapan, NJ 07726-8742
Phone
(732) 333-0062
Fax
(732) 333-0004
NPI assigned
Oct 14, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Yelena BirgerNPI 1376598136
Title
Owner
Phone
(732) 333-0062

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 25MB07663700 NJ Primary

Addresses

Primary practice location

300 Craig Rd Ste 208
Manalapan, NJ 07726-8742

Mailing address

12 Walden CT
Old Bridge, NJ 08857-3573
Phone (732) 360-0619

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20170112000165 NY Part B Supplier - Clinic/Group Practice 0042593675 Receives reassigned benefits from 1 practitioner
Practice locations: Jamaica, NY
O20170206001928 NJ Part B Supplier - Clinic/Group Practice 0042593675 Receives reassigned benefits from 1 practitioner
Practice locations: Manalapan, NJ

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D1048921Yelena Birger DO300 Craig Road, Suite 208, Manalapan, NJ 07726Certificate of waiverDec 14, 2027

National Provider Directory

National Provider Directory

Locations

108 Woodward Rd
Bldg B
Manalapan, NJ 07726

300 Craig Rd
Ste 208
Manalapan, NJ 07726
Phone (732) 333-0062

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1476403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476403200000",
    "number": "1023569027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 WALDEN CT",
            "city": "OLD BRIDGE",
            "state": "NJ",
            "postal_code": "088573573",
            "telephone_number": "732-360-0619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 CRAIG RD STE 208",
            "city": "MANALAPAN",
            "state": "NJ",
            "postal_code": "077268742",
            "telephone_number": "732-333-0062",
            "fax_number": "732-333-0004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YELENA BIRGER DO PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-14",
        "last_updated": "2016-10-14",
        "status": "A",
        "authorized_official_last_name": "BIRGER",
        "authorized_official_first_name": "YELENA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-333-0062"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MB07663700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manalapan, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.