Individual provider Active NPI

Robert Yodashkin, MD

  • Addiction Medicine (Internal Medicine) Physician
  • Delray Beach, FL
National Provider Identifier
1144386863
Registry record updated Nov 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Internal Medicine) PhysicianTaxonomy code 207RA0401X
License
ME98252 Issued in FL
Practice address
2905 S Congress Ave
Suite D
Delray Beach, FL 33445-7337
Phone
(561) 243-2070
Fax
(561) 243-2080
NPI assigned
Dec 28, 2006
Last updated
Nov 18, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 18, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 133732 NY
Addiction Medicine (Internal Medicine) Physician 207RA0401X ME98252 FL Primary

Addresses

Primary practice location

2905 S Congress Ave
Suite D
Delray Beach, FL 33445-7337

Mailing address

2905 S Congress Ave
Suite D
Delray Beach, FL 33445-7337
Phone (561) 243-2070

Other identifiers 1

IdentifierTypeStateIssuer
00350394MedicaidNY

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)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Bay Physmed, P.C. Past Accepting new patients
Sunrise Detoxification Center, LLC PastSince Apr 25, 2018 Accepting new patients
Sunrise Detox III, LLC PastSince Apr 22, 2023 Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1167264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1226966400000",
    "number": "1144386863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2905 S CONGRESS AVE",
            "address_2": "SUITE D",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334457337",
            "telephone_number": "561-243-2070",
            "fax_number": "561-243-2080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2905 S CONGRESS AVE",
            "address_2": "SUITE D",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334457337",
            "telephone_number": "561-243-2070",
            "fax_number": "561-243-2080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YODASHKIN",
        "first_name": "ROBERT",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-28",
        "last_updated": "2008-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "133732",
            "primary": false
        },
        {
            "code": "207RA0401X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Addiction Medicine",
            "state": "FL",
            "license": "ME98252",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00350394",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Delray Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2008; 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.