Individual provider Active NPI

Jennifer Lynn Yanko, DIPL.LAC

  • Sports Physician Chiropractor
  • Atlantic Highlands, NJ
National Provider Identifier
1154615748
Registry record updated Jun 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physician ChiropractorTaxonomy code 111NS0005X
License
25MZ00061500 Issued in NJ
Practice address
68 1St Ave
Atlantic Highlands, NJ 07716-1286
Phone
(973) 634-0462
NPI assigned
Jun 1, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 1, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physician Chiropractor 111NS0005X 25MZ00061500 NJ Primary
Local Education Agency (LEA) 251300000X 25MZ00061500 NJ

Addresses

Primary practice location

68 1St Ave
Atlantic Highlands, NJ 07716-1286

Mailing address

68 1St Ave
Atlantic Highlands, NJ 07716-1286
Phone (973) 634-0462

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
25MZ00061500NJMDLocal Education Agency (LEA)

NPI Registry JSON

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

{
    "created_epoch": "1306886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1306886400000",
    "number": "1154615748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "68 1ST AVE",
            "city": "ATLANTIC HIGHLANDS",
            "state": "NJ",
            "postal_code": "077161286",
            "telephone_number": "973-634-0462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "68 1ST AVE",
            "city": "ATLANTIC HIGHLANDS",
            "state": "NJ",
            "postal_code": "077161286",
            "telephone_number": "973-634-0462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YANKO",
        "first_name": "JENNIFER",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "DIPL.LAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-06-01",
        "last_updated": "2011-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "NJ",
            "license": "25MZ00061500",
            "primary": true
        },
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": "NJ",
            "license": "25MZ00061500",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlantic Highlands, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2011; 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.