Active NPI
Ys Family Medical Care LLC
- Family Nurse Practitioner
- Lakewood, NJ
National Provider Identifier
1033695242
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- Legal business name
- YS FAMILY MEDICAL CARE LLC
- Practice address
- 8 Omni CT
Lakewood, NJ 08701-4736 - Phone
- (732) 276-6084
- NPI assigned
- Jul 11, 2018
- Last updated
- Jul 11, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Shani Singer
- Title
- Office Manager
- Phone
- (732) 276-6084
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | NU | Primary |
Addresses
Primary practice location
8 Omni CT
Lakewood, NJ 08701-4736
Mailing address
8 Omni CT
Lakewood, NJ 08701-4736
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 31D2168848 | Ys Family Medical Care, LLC | Certificate of waiver | Jul 9, 2027 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Nurse Practitioner
- Lakewood, NJ
- NPI 1386188233
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1531267200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1531267200000",
"number": "1033695242",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8 OMNI CT",
"city": "LAKEWOOD",
"state": "NJ",
"postal_code": "087014736"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8 OMNI CT",
"city": "LAKEWOOD",
"state": "NJ",
"postal_code": "087014736",
"telephone_number": "732-276-6084"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "YS FAMILY MEDICAL CARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-07-11",
"last_updated": "2018-07-11",
"status": "A",
"authorized_official_last_name": "SINGER",
"authorized_official_first_name": "SHANI",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "732-276-6084"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lakewood, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2018; 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.