Individual provider Active NPI

Victor B Yabidi

  • Psychiatric/Mental Health Nurse Practitioner
  • Newark, NJ
National Provider Identifier
1174955744
Registry record updated Sep 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
26NJ00458700 Issued in NJ
Practice address
224 Weequahic Ave
Newark, NJ 07112-1730
Phone
(973) 592-6899
NPI assigned
Aug 6, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 26NJ00458700 NJ Primary
Family Nurse Practitioner 363LF0000X 26NJ00458700 NJ

Addresses

Primary practice location

224 Weequahic Ave
Newark, NJ 07112-1730

Mailing address

224 Weequahic Ave
Newark, NJ 07112-1730

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, NY2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20140221001382 NJ Practitioner - Nurse Practitioner 7113157033 Reassigns benefits to 6 organizations
I20200206001224 NY Practitioner - Nurse Practitioner 7113157033 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
May accept Medicare assignment
Group practices
Small Hospital Innovations LLCGroup PAC ID 0840415444, 95 clinicians
University HospitalGroup PAC ID 5294636874, 77 clinicians
BMG East Orange LLCGroup PAC ID 5193063154, 4 clinicians

Practice addresses (Care Compare)

111 Central Ave
Newark, NJ 07102-1909
Phone (973) 877-5000

150 Bergen St
RM M 219
Newark, NJ 07103-2496
Phone (973) 972-4112

200 Fwy Dr E
Suite 305
East Orange, NJ 07018-3809

200 Fwy Dr E
Suite 305
East Orange, NJ 07018-3837
Phone (973) 310-2000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Nes Medical Services of New York PC CurrentSince May 22, 2022 Accepting new patients
Nes Medical Services of New York PC CurrentSince Dec 7, 2019 Accepting new patients
University Hospital CurrentSince Aug 1, 2020 Accepting new patients
Barron Emergency Physicians LLC CurrentSince May 1, 2017 Accepting new patients
Nes Georgia Inc CurrentSince Jan 27, 2018 Accepting new patients
Nes Georgia Inc Current Accepting new patients
University Hospital CurrentSince Aug 1, 2020 Accepting new patients
Small Hospital Innovations LLC CurrentSince Jan 9, 2025 Accepting new patients
Complete Mind Reset Past Accepting new patients
Crescent Medical Group PC PastSince Oct 21, 2023 Accepting new patients

Locations

225 Williamson St
Elizabeth, NJ 07202
Phone (908) 994-5204

150 Bergen St
Rm M219
Newark, NJ 07103
Phone (973) 972-1193

111 Central Ave
Newark, NJ 07102
Phone (973) 877-5060

425 Jack Martin Blvd
Wall Township, NJ 08724
Phone (732) 840-2200

7571 State Route 54
Bath, NY 14810
Phone (607) 776-8500

555 Saint Josephs Blvd
Elmira, NY 14901
Phone (607) 733-6541

Interoperability endpoints

  • FHIR API: https://epicproxy.et0434.epichosted.com/APIProxyPRD/UHNJ/api/FHIR/R4
  • Direct secure messaging: vyabidi483906@direct.ahsys.org
  • Direct secure messaging: vyabidi1338148@nychhc.direct-ci.com

Organizations & group practices 12

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.

NPI Registry JSON

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

{
    "created_epoch": "1375747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789516800000",
    "number": "1174955744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "224 WEEQUAHIC AVE",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071121730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "224 WEEQUAHIC AVE",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071121730",
            "telephone_number": "973-592-6899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YABIDI",
        "first_name": "VICTOR",
        "middle_name": "B",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-08-06",
        "last_updated": "2026-09-16",
        "certification_date": "2026-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NJ",
            "license": "26NJ00458700",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ00458700",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, NJ

Sources for this page

Verify at the official NPI Registry.