Individual provider Active NPI

Yelena Shabelnik, DO

  • Psychiatry Physician
  • Mount Holly, NJ
National Provider Identifier
1154981736
Registry record updated Apr 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
25IB12931000 Issued in NJ
Practice address
175 Madison Avenue, 6TH Floor
Mount Holly, NJ 08060
Phone
(856) 355-7118
Fax
(856) 325-5222
NPI assigned
Jun 17, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X OS022556 PA
Psychiatry Physician 2084P0800X 25IB12931000 NJ Primary
Psychiatry Physician 2084P0800X OT019364 PA

Addresses

Primary practice location

175 Madison Avenue, 6TH Floor
Mount Holly, NJ 08060

Mailing address

301 Lippincott Drive, Suite 410
Marlton, NJ 08053
Phone (856) 355-7118

Other practice location 1

4200 Monument Rd
Philadelphia, PA 19131-1625
Phone (484) 430-1038

Other practice location 2

301 Lippincott Dr, Suite 410
Marlton, NJ 08053
Phone (856) 355-7118

Other practice location 3

90 Brick Rd
Marlton, NJ 08053
Phone (856) 355-7118

Other practice location 4

100 Bowman Drive, Lower Level 3
Voorhees, NJ 08043
Phone (856) 355-7118

Other practice location 5

218A Sunset Road, 1st Floor
Willingboro, NJ 08046
Phone (856) 355-7118

Other practice location 6

5501 Old York Rd Ste 1
Philadelphia, PA 19141-3098
Phone (215) 456-9015

Electronic endpoints 5

TypeEndpointUseAffiliation
Direct Messaging Address yshabelnik320151@directvirtua.org
Direct Messaging Address yshabelnik320151@directvirtua.org
Direct Messaging Address yshabelnik320151@directvirtua.org
Direct Messaging Address yshabelnik320151@directvirtua.org
Direct Messaging Address yshabelnik320151@directvirtua.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NJ2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20230622003059 PA Practitioner - Psychiatry 6901264951 Reassigns benefits to 2 organizations
I20260307000111 NJ Practitioner - Psychiatry 6901264951 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Philadelphia College of Osteopathic Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Virtua Medical Group, PAGroup PAC ID 9830222397, 1,678 clinicians

Practice addresses (Care Compare)

175 Madison Ave
Mount Holly, NJ 08060-2038
Phone (856) 247-7260

Hospital & facility affiliations

  • West Jersey Hospital Hospital, Voorhees, NJ, CCN 310022
  • Virtua Willingboro Hospital Hospital, Willingboro, NJ, CCN 310061

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
25IB12931000NJMDPsychiatry Physician
OS022556PAMDPsychiatry Physician
OT019364PAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Belmont Behavioral Hospital, LLC CurrentSince Aug 8, 2023 Accepting new patients
Einstein Practice Plan Inc CurrentSince Jul 1, 2023 Accepting new patients
Einstein Practice Plan Inc Psychiatry CurrentSince Jul 1, 2023 Accepting new patients
Belmont Behavioral Hospital, LLC CurrentSince Aug 8, 2023 Accepting new patients
Virtua Medical Group, PA CurrentSince Mar 1, 2026 Accepting new patients
Virtua Medical Group, PA CurrentSince Mar 1, 2026 Accepting new patients
Virtua - Memorial Hospital Burlington County, Inc Past Accepting new patients

Locations

90 Brick Rd
Marlton, NJ 08053
Phone (856) 355-6040

301 Lippincott Dr
Ste 410
Marlton, NJ 08053

175 Madison Ave
Fl 6
Mount Holly, NJ 08060

175 Madison Ave
Mount Holly, NJ 08060
Phone (609) 261-1660

100 Bowman Dr
Lowr
Voorhees, NJ 08043
Phone (856) 247-3000

100 Bowman Dr
Voorhees, NJ 08043
Phone (856) 247-3000

60 Township Line Rd
Elkins Park, PA 19027
Phone (215) 663-6000

5501 York Rd
Ste 1
Philadelphia, PA 19141
Phone (215) 456-6500

4200 Monument Rd
Philadelphia, PA 19131
Phone (215) 456-6611

5501 Old York Rd
Ste 3
Philadelphia, PA 19141
Phone (215) 456-7180

5501 York Rd
Philadelphia, PA 19141
Phone (215) 456-7405

6100 Tower Cir
Ste 1000
Franklin, TN 37067
Phone (615) 454-7459

Interoperability endpoints

  • Direct secure messaging: yshabelnik320151@directvirtua.org

Organizations & group practices 8

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1560729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777507200000",
    "number": "1154981736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 LIPPINCOTT DRIVE, SUITE 410",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "08053",
            "telephone_number": "856-355-7118",
            "fax_number": "856-325-5222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 MADISON AVENUE, 6TH FLOOR",
            "city": "MOUNT HOLLY",
            "state": "NJ",
            "postal_code": "08060",
            "telephone_number": "856-355-7118",
            "fax_number": "856-325-5222"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4200 Monument Rd",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191311625",
            "country_code": "US",
            "telephone_number": "484-430-1038",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "301 Lippincott Dr, Suite 410",
            "address_purpose": "LOCATION",
            "city": "Marlton",
            "state": "NJ",
            "postal_code": "08053",
            "country_code": "US",
            "telephone_number": "856-355-7118",
            "fax_number": "856-325-5222",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "90 Brick Rd",
            "address_purpose": "LOCATION",
            "city": "Marlton",
            "state": "NJ",
            "postal_code": "08053",
            "country_code": "US",
            "telephone_number": "856-355-7118",
            "fax_number": "856-325-5222",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 Bowman Drive, Lower Level 3",
            "address_purpose": "LOCATION",
            "city": "Voorhees",
            "state": "NJ",
            "postal_code": "08043",
            "country_code": "US",
            "telephone_number": "856-355-7118",
            "fax_number": "856-325-5222",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "218A Sunset Road, 1st Floor",
            "address_purpose": "LOCATION",
            "city": "Willingboro",
            "state": "NJ",
            "postal_code": "08046",
            "country_code": "US",
            "telephone_number": "856-355-7118",
            "fax_number": "856-325-5222",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5501 Old York Rd Ste 1",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191413098",
            "country_code": "US",
            "telephone_number": "215-456-9015",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHABELNIK",
        "first_name": "YELENA",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-17",
        "last_updated": "2026-04-30",
        "certification_date": "2026-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "OS022556",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NJ",
            "license": "25IB12931000",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "OT019364",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "yshabelnik320151@directvirtua.org",
            "affiliation": "N",
            "address_1": "301 Lippincott Dr, Suite 410",
            "city": "Marlton",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "08053",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "yshabelnik320151@directvirtua.org",
            "affiliation": "N",
            "address_1": "90 Brick Rd",
            "city": "Marlton",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "08053",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "yshabelnik320151@directvirtua.org",
            "affiliation": "N",
            "address_1": "100 Bowman Drive, Lower Level 3",
            "city": "Voorhees",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "08043",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "yshabelnik320151@directvirtua.org",
            "affiliation": "N",
            "address_1": "218A Sunset Road, 1st Floor",
            "city": "Willingboro",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "08046",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "yshabelnik320151@directvirtua.org",
            "affiliation": "N",
            "address_1": "175 Madison Avenue, 6th Floor",
            "city": "Mount Holly",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "08060",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Mount Holly, NJ

Sources for this page

Verify at the official NPI Registry.