Active NPI
Yelena Smart, OD
- Optometrist
- Tinton Falls, NJ
National Provider Identifier
1295021947
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 27OA00671100
- Practice address
- 55 N Gilbert St Ste 4101
Tinton Falls, NJ 07701-4961 - Phone
- (732) 842-4751
- Fax
- (732) 842-1573
- NPI assigned
- Jun 21, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 27OA00671100 | NJ | Primary |
| Low Vision Rehabilitation Optometrist | 152WL0500X | 27OA00671100 | NJ |
Addresses
Primary practice location
55 N Gilbert St Ste 4101
Tinton Falls, NJ 07701-4961
Mailing address
55 N Gilbert St Ste 4101
Tinton Falls, NJ 07701-4961
Phone (732) 842-4751
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 27OA00671100 | NJ | MD | Optometrist |
| 007735 | NY | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wyckoff Medical Services, P C | Past | Accepting new patients | |
| Harry Robert Maximilan Koster, MD PC | Past | Accepting new patients |
Organizations & group practices 2
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.
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-
- Internal Medicine Physician
- Brooklyn, NY
- NPI 1558308411
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1308614400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1707264000000",
"number": "1295021947",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "55 N GILBERT ST STE 4101",
"city": "TINTON FALLS",
"state": "NJ",
"postal_code": "077014961",
"telephone_number": "732-842-4751",
"fax_number": "732-842-1573"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "55 N GILBERT ST STE 4101",
"city": "TINTON FALLS",
"state": "NJ",
"postal_code": "077014961",
"telephone_number": "732-842-4751",
"fax_number": "732-842-1573"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMART",
"first_name": "YELENA",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-06-21",
"last_updated": "2024-02-07",
"certification_date": "2024-02-07",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NJ",
"license": "27OA00671100",
"primary": true
},
{
"code": "152WL0500X",
"taxonomy_group": "",
"desc": "Optometrist, Low Vision Rehabilitation",
"state": "NJ",
"license": "27OA00671100",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tinton Falls, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.