Yelena Mashkovich, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

25MP00376900 Issued in NJ

Practice address

131 Columbia Tpke
Florham Park, NJ 07932

Phone

(973) 377-8776

NPI assigned

Nov 27, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Interoperability endpoints

• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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.

• Citywide Urgent Care NJ LLC

  • Urgent Care Clinic/Center
  • Bloomfield, NJ
  • NPI 1689259822
  Medicare reassignment
• Roger Diruggiero

  • Internal Medicine Physician
  • Florham Park, NJ
  • NPI 1689785776
  NPD (past)
• Brooklyn Urgent Care PLLC

  • Urgent Care Clinic/Center
  • Brooklyn, NY
  • NPI 1063898096
  NPD (past)

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

{
    "created_epoch": "1448582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533600000000",
    "number": "1104290329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 BIRCHWOOD RD",
            "city": "OLD TAPPAN",
            "state": "NJ",
            "postal_code": "076757102",
            "telephone_number": "917-882-4228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 COLUMBIA TPKE",
            "city": "FLORHAM PARK",
            "state": "NJ",
            "postal_code": "07932",
            "telephone_number": "973-377-8776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASHKOVICH",
        "first_name": "YELENA",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-11-27",
        "last_updated": "2018-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NJ",
            "license": "25MP00376900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lucas Martinez, PA-C
• Marzella Consulting, LLC
• Marzella Consulting, LLC
• Claudia Marie Marzella
• Jacquelyn N Masciangelo, MPT
• Michael Anthony Masino, DMD
• Devinder Kaur Mathaun de Infante
• Alexander J Mathew, MD
• Katy Mabunay Matilla, CRNA
• Kevin James Matlon, PT

• Physician Assistant in Florham Park, NJ
• Providers in Florham Park, NJ by specialty
• Physician Assistant in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2018; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.