Individual provider Active NPI

Yonas T Mehari, DVM, MS

  • Veterinarian
  • East Orange, NJ
National Provider Identifier
1063716488
Registry record updated Sep 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
VeterinarianTaxonomy code 174M00000X
License
0301202833 Issued in VA
Practice address
251 Hoffman Blvd
East Orange, NJ 07017
Phone
(202) 276-8882
NPI assigned
Dec 28, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 18, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 29VI00782900 NJ
Veterinarian 174M00000X 6708 MD
Veterinarian 174M00000X 0301202833 VA Primary

Addresses

Primary practice location

251 Hoffman Blvd
East Orange, NJ 07017

Mailing address

106 Holly Hill CT
Fruitland, MD 21826-1207
Phone (202) 276-8882

Other practice location 1

9414 Brandywine Rd
Clinton, MD 20735-3237
Phone (202) 246-5400

Other practice location 2

9414 Brandywine Rd
Clinton, MD 20735-3237
Phone (202) 246-5400

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
Master of Science

State licenses

LicenseStateTypeSpecialty
29VI00782900NJMDSpecialist
6708MDMDVeterinarian
0301202833VAMDVeterinarian

NPI Registry JSON

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

{
    "created_epoch": "1293494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568764800000",
    "number": "1063716488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 HOLLY HILL CT",
            "city": "FRUITLAND",
            "state": "MD",
            "postal_code": "218261207",
            "telephone_number": "202-276-8882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "251 HOFFMAN BLVD",
            "city": "EAST ORANGE",
            "state": "NJ",
            "postal_code": "07017",
            "telephone_number": "202-276-8882"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9414 Brandywine Rd",
            "address_purpose": "LOCATION",
            "city": "Clinton",
            "state": "MD",
            "postal_code": "207353237",
            "country_code": "US",
            "telephone_number": "202-246-5400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9414 Brandywine Rd",
            "address_purpose": "LOCATION",
            "city": "Clinton",
            "state": "MD",
            "postal_code": "207353237",
            "country_code": "US",
            "telephone_number": "202-246-5400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MEHARI",
        "first_name": "YONAS",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "DVM, MS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-12-28",
        "last_updated": "2019-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NJ",
            "license": "29VI00782900",
            "primary": false
        },
        {
            "code": "174M00000X",
            "taxonomy_group": "",
            "desc": "Veterinarian",
            "state": "MD",
            "license": "6708",
            "primary": false
        },
        {
            "code": "174M00000X",
            "taxonomy_group": "",
            "desc": "Veterinarian",
            "state": "VA",
            "license": "0301202833",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Orange, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.