Individual provider Active NPI

John M Yavorsky, D.O.

  • Internal Medicine Physician
  • Garwood, NJ
National Provider Identifier
1265594402
Registry record updated Feb 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25MB05872500 Issued in NJ
Practice address
91 Center Street
Garwood, NJ 07027-1231
Phone
(908) 789-0626
Fax
(908) 789-3123
NPI assigned
Dec 14, 2006
Last updated
Feb 7, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 25MB05872500 NJ Primary

Addresses

Primary practice location

91 Center Street
Garwood, NJ 07027-1231

Mailing address

328 W Saint Georges Ave
Linden, NJ 07036-5638
Phone (908) 925-7519

Other identifiers 5

IdentifierTypeStateIssuer
1K1554OtherNJHEALTHNET
0721220000OtherNJAMERIHEALTH INDIVIDUAL
6825702MedicaidNJ
000121254OtherNJHIGHMARK BLUE SHIELD INDI
P783147OtherNJOXFORD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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 1

Enrollment IDStateProvider typePAC IDDetails
I20050912000720 NJ Practitioner - Internal Medicine 6103859178 Reassigns benefits to 1 organization
Practice locations: Garwood, NJ

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Rutgers New Jersey Medical School, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

91 Ctr St
Garwood, NJ 07027-1251
Phone (908) 789-0626

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Robert Wood Johnson Medical Associates at Hamilton PA CurrentSince Jan 1, 2021 Accepting new patients
Robert Wood Johnson Medical Associates at Hamilton PA CurrentSince Jan 1, 2021 Accepting new patients
Associates in Internal Medicine-Garwood, LLC Internal Medicine PastSince Jan 1, 1990 Accepting new patients

Locations

328 W Saint Georges Ave
Linden, NJ 07036
Phone (608) 925-2273

Interoperability endpoints

  • Direct secure messaging: jyavorsky@carestationmedicalgroup.ssdirect.aprima.com

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.

Hospital & facility affiliations 4

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": "1166054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738886400000",
    "number": "1265594402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "328 W SAINT GEORGES AVE",
            "city": "LINDEN",
            "state": "NJ",
            "postal_code": "070365638",
            "telephone_number": "908-925-7519",
            "fax_number": "908-925-2842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "91 CENTER STREET",
            "city": "GARWOOD",
            "state": "NJ",
            "postal_code": "070271231",
            "telephone_number": "908-789-0626",
            "fax_number": "908-789-3123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YAVORSKY",
        "first_name": "JOHN",
        "middle_name": "M",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-14",
        "last_updated": "2025-02-07",
        "certification_date": "2025-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MB05872500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET",
            "identifier": "1K1554",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH INDIVIDUAL",
            "identifier": "0721220000",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6825702",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD INDI",
            "identifier": "000121254",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P783147",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Garwood, NJ

Sources for this page

Verify at the official NPI Registry.