Active NPI
Joseph P Yanulevich, CRNA
- Certified Registered Nurse Anesthetist
- Jamestown, NY
National Provider Identifier
1245276401
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 301785
- Practice address
- 207 Foote Avenue
Jamestown, NY 14702 - Phone
- (716) 487-0141
- NPI assigned
- Jun 22, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 301785 | NY | Primary |
Addresses
Primary practice location
207 Foote Avenue
Jamestown, NY 14702
Mailing address
215 Elmwood Avenue
PO Box 2169
Elmira Heights, NY 14903
Phone (607) 733-3639
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
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 301785 | NY | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Maple Gate Anesthesiologists, P.C. | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Anesthesiology Physician
- Cheektowaga, NY
- NPI 1528072709
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150934400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1226534400000",
"number": "1245276401",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "215 ELMWOOD AVENUE",
"address_2": "PO BOX 2169",
"city": "ELMIRA HEIGHTS",
"state": "NY",
"postal_code": "14903",
"telephone_number": "607-733-3639",
"fax_number": "607-733-1292"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "207 FOOTE AVENUE",
"city": "JAMESTOWN",
"state": "NY",
"postal_code": "14702",
"telephone_number": "716-487-0141"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YANULEVICH",
"first_name": "JOSEPH",
"middle_name": "P",
"name_prefix": "Mr.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-22",
"last_updated": "2008-11-13",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "NY",
"license": "301785",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jamestown, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 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.