Elizabeth Yakaboski

Key facts

NPI

1134583560

Entity type

Individual (NPI type 1)

Primary specialty

Allergy & Immunology Physician 207K00000X

License

287100 (MA)

Practice address

9 Village SQ
Chelmsford, MA 01824-2712

Phone

(978) 256-4531

NPI assigned

Apr 12, 2016

Sex

Female

Sole proprietor

No

Organizations & group practices 5

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.

• Allergy Affiliates of Danvers Allergy Physician · Salem, MA · NPI 1093068728
  Medicare reassignment Care Compare group NPD MA · NH
• Asthma & Allergy Affiliates Inc Allergy Physician · Salem, MA · NPI 1245300045
  Medicare reassignment Care Compare group NPD MA · NH
• Allergy & Asthma Specialists, PC Allergy & Immunology Physician · Chelmsford, MA · NPI 1306837968
  Medicare reassignment MA
• North Shore Medical Center, Inc. General Acute Care Hospital · Salem, MA · NPI 1730121633
  NPD
• Allergy & Asthma Specialists, LLC Allergy & Immunology Physician · Chelmsford, MA · NPI 1497151666
  NPD (past) ALLERGY & IMMUNOLOGY

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• North Shore Medical Center, Inc. General Acute Care Hospital · Salem, MA · NPI 1730121633
  Care Compare affiliation Hospital
• Northeast Hospital Corporation General Acute Care Hospital · Beverly, MA · NPI 1316917941
  Care Compare affiliation Hospital
• Northeast Hospital Corporation Psychiatric Hospital Unit · Beverly, MA · NPI 1407827710
  Care Compare affiliation Hospital

Medicare Care Compare profile

Specialty

Allergy/Immunology
Also: Pediatric Medicine

Education

State Un of Ny, Stony Brook School of Dental Med, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Allergy Affiliates of Danvers (6 clinicians)
Asthma and Allergy Affiliates Inc (6 clinicians)

Practice addresses (Care Compare)

Hospital & facility affiliations

• North Shore Medical Center - Hospital · Salem, MA · CCN 220035
• Northeast Hospital Corporation Hospital · Beverly, MA · CCN 220033

Medicare participation

Medicare fee-for-service enrollment

Enrolled (2 enrollments) in MA, NH

Eligible to order & refer

Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: yakaboski.elizabeth.nsmc@direct.partners.masshiway.net

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jun 11, 2021.

{
    "created_epoch": "1460419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623369600000",
    "number": "1134583560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 VILLAGE SQ",
            "city": "CHELMSFORD",
            "state": "MA",
            "postal_code": "018242712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 VILLAGE SQ",
            "city": "CHELMSFORD",
            "state": "MA",
            "postal_code": "018242712",
            "telephone_number": "978-256-4531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YAKABOSKI",
        "first_name": "ELIZABETH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-12",
        "last_updated": "2021-06-11",
        "certification_date": "2021-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "NH",
            "license": "21380",
            "primary": false
        },
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "MA",
            "license": "287100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chelmsford, MA

• Tricia Woolard, BCBA
• Jessica Dulaney Workman, M.ED, BCBA
• John Wu, NP
• Samuel Wu
• Jianing Xiao, NP
• Arthur Gee Yee, DMD
• Serena Yenowskas, DPT
• Michell Yepes
• David Hyungjun Yi, MD
• Leslie Ynfante

All providers in Chelmsford, MA · Allergy & Immunology Physician in Massachusetts