Active NPI
Yitzchak David, RN
- Registered Nurse
- Rutherford, NJ
National Provider Identifier
1053771345
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 26NR18352800
- Practice address
- 201 Route 17 Ste 501
Rutherford, NJ 07070-2669 - Phone
- (201) 457-0044
- NPI assigned
- Feb 29, 2016
- Last updated
- Dec 14, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 711204 | NY | |
| Registered Nurse | 163W00000X | 26NR18352800 | NJ | Primary |
Addresses
Primary practice location
201 Route 17 Ste 501
Rutherford, NJ 07070-2669
Mailing address
10 Union SQ E
New York, NY 10003-3314
Phone (212) 844-6922
Other practice location 1
10 Union Sq E
New York, NY 10003-3314
Phone (212) 844-6922
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26NR18352800 | NJ | MD | Registered Nurse |
| 711204 | NY | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Neurosurgery Associates PC | Current | Accepting new patients |
Locations
201 State Rt 17
Ste 501
Rutherford, NJ 07070
Phone (201) 457-0044
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Neurological Surgery Physician
- Hackensack, NJ
- NPI 1366562530
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1456704000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1702512000000",
"number": "1053771345",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 UNION SQ E",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100033314",
"telephone_number": "212-844-6922"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 ROUTE 17 STE 501",
"city": "RUTHERFORD",
"state": "NJ",
"postal_code": "070702669",
"telephone_number": "201-457-0044"
}
],
"practiceLocations": [
{
"address_1": "10 Union Sq E",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100033314",
"country_code": "US",
"telephone_number": "212-844-6922",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DAVID",
"first_name": "YITZCHAK",
"name_prefix": "Mr.",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-02-29",
"last_updated": "2023-12-14",
"certification_date": "2023-12-14",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NY",
"license": "711204",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NJ",
"license": "26NR18352800",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rutherford, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.