Yelena Yeretsky, DO

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

25MB07372300 Issued in NJ

Practice address

36 Newark Ave
Ste 120 Ligresti Dermatology Associates PA
Belleville, NJ 07109-4120

Phone

(973) 759-6569

Fax

(973) 759-2562

NPI assigned

Sep 21, 2006

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

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.

• Vision Eye Physicians and Surgeons LLC

  • Specialist
  • Belleville, NJ
  • NPI 1831397843
  NPD (past)

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1191974400000",
    "number": "1144329830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 NEWARK AVE",
            "address_2": "SUITE 120",
            "city": "BELLEVILLE",
            "state": "NJ",
            "postal_code": "071094120",
            "telephone_number": "973-759-6569",
            "fax_number": "973-759-2562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36 NEWARK AVE",
            "address_2": "STE 120 LIGRESTI DERMATOLOGY ASSOCIATES PA",
            "city": "BELLEVILLE",
            "state": "NJ",
            "postal_code": "071094120",
            "telephone_number": "973-759-6569",
            "fax_number": "973-759-2562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YERETSKY",
        "first_name": "YELENA",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-21",
        "last_updated": "2007-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NJ",
            "license": "25MB07372300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Women'S Care NJ PA
• Duoping Wu, M.D.
• Moudi Yacoub
• Jung A Yang
• Arlene Yaoto, APN
• Sitamahalakshmi Yerramalli, MD
• Eshwary Yerramsetty, PHARM.D
• Maged Youssef
• Chiwai Yu, MD
• Sun Jee Yu, MD

• Dermatology Physician in Belleville, NJ
• Providers in Belleville, NJ by specialty
• Dermatology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2007; 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.