Active NPI
Yana Cavanagh
- Gastroenterology Physician
- Paterson, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 25MA09717000
- Practice address
- 703 Main St
St. Joseph'S Regional Medical Center, Internal Medicine
Paterson, NJ 07503-2621 - Phone
- (973) 754-2431
- Fax
- (973) 754-3376
- NPI assigned
- Jun 18, 2012
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Internal Medicine Physician
- Paterson, NJ
- NPI 1205425519
-
- Internal Medicine Physician
- Paterson, NJ
- NPI 1497791297
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Paterson, NJ
- NPI 1669462420
Care Compare affiliation Hospital
Medicare Care Compare profile
- Specialty
- Gastroenterology
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- St Josephs Medical Group PC
Practice addresses (Care Compare)
703 Main St
Paterson, NJ 07503-2621
Phone (973) 754-6331
Hospital & facility affiliations
- St Joseph'S University Medical Center Inc
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 44 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 121 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200630000492 | NJ | Practitioner - Gastroenterology |
7012339575 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. Joseph'S Healthcare, Inc. | Current |
Accepting new patients | |
| St Josephs Medical Group PC | Current |
Accepting new patients |
Locations
703 Main St
Bldg 400
Paterson, NJ 07503
Phone (973) 754-2054
703 Main St
Rm XG2126
Paterson, NJ 07503
Phone (973) 754-2240
703 Main St
#G
Paterson, NJ 07503
Phone (973) 754-6331
703 Main St
Paterson, NJ 07503
Phone (973) 754-2240
234 Hamburg Tpke
Ste 203
Wayne, NJ 07470
Phone (862) 207-7510
220 Hamburg Tpke
Ste 203
Wayne, NJ 07470
Specialties & licenses 2
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | 25MA09717000 | NJ | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X |
Addresses
NPPES NPI RegistryPrimary practice location
703 Main St
St. Joseph'S Regional Medical Center, Internal Medicine
Paterson, NJ 07503-2621
Mailing address
703 Main St
St. Joseph'S Regional Medical Center, Internal Medicine
Paterson, NJ 07503-2621
Phone (973) 754-2431
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 4, 2020.
{
"created_epoch": "1339977600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1591228800000",
"number": "1104189844",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "703 MAIN ST",
"address_2": "ST. JOSEPH'S REGIONAL MEDICAL CENTER, INTERNAL MEDICINE",
"city": "PATERSON",
"state": "NJ",
"postal_code": "075032621",
"telephone_number": "973-754-2431",
"fax_number": "973-754-3376"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "703 MAIN ST",
"address_2": "ST. JOSEPH'S REGIONAL MEDICAL CENTER, INTERNAL MEDICINE",
"city": "PATERSON",
"state": "NJ",
"postal_code": "075032621",
"telephone_number": "973-754-2431",
"fax_number": "973-754-3376"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAVANAGH",
"first_name": "YANA",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-06-18",
"last_updated": "2020-06-04",
"certification_date": "2020-06-04",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "NJ",
"license": "25MA09717000",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Paterson, NJ
- Catholic Family & Community Services
- Catholic Family & Community Services
- Catholic Family & Community Services
- Catholic Family and Community Services
- Catholic Family and Community Services, Inc
- Devon Marie Cavazos, LCSW
- Carolyn Cedeno, FNP
- Humeyra Celikel
- Center City Family Medicine, LLC
- Center for Family Services, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.