Yelena Alexandr Smirnova, D.O.

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

25MB10567800 Issued in NJ

Practice address

33 Post PL
Newfoundland, NJ 07435-1638

Phone

(973) 248-5366

NPI assigned

May 11, 2015

Last updated

Jul 20, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Emergency Medicine

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Capital Health Multispecialty GroupGroup PAC ID 1850689894, 342 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Capital Health Medical Center - Hopewell Hospital, Pennington, NJ, CCN 310044
• Capital Health Regional Medical Center Hospital, Trenton, NJ, CCN 310092

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

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.

• Capital Health Multispecialty Group

  • Surgery Physician
  • Trenton, NJ
  • NPI 1083072342

  Emergency Medicine

  Medicare reassignment Care Compare group NPD

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

• Capital Health System Inc

  dba Regional Medical Center

  • General Acute Care Hospital
  • Trenton, NJ
  • NPI 1275583726
  Care Compare affiliation
• Capital Health System, Inc.

  dba Capital Health Medical Center - Hopewell

  • General Acute Care Hospital
  • Pennington, NJ
  • NPI 1073516183
  Care Compare affiliation

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

{
    "created_epoch": "1431302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595203200000",
    "number": "1447638424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 POST PL",
            "city": "NEWFOUNDLAND",
            "state": "NJ",
            "postal_code": "074351638",
            "telephone_number": "973-248-5366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 POST PL",
            "city": "NEWFOUNDLAND",
            "state": "NJ",
            "postal_code": "074351638",
            "telephone_number": "973-248-5366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMIRNOVA",
        "first_name": "YELENA",
        "middle_name": "ALEXANDR",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-11",
        "last_updated": "2020-07-20",
        "certification_date": "2020-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NJ",
            "license": "25MB10567800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• North Jersey Eye Care Center
• Janice Elizabeth Petix, MSW, LCSW
• Roci Trans Care LLC
• RT Bock MD Consultancy, LLC
• Michaela Scotten Shuhnicki, MSOT, OTR/L
• Thrive Pelvic Health and Wellness
• Marylou Vandenburg, PSYD
• Katherine Vigorita, P.T.
• Kenneth D Vindeni, DC
• Walsh Wellness L.L.C

• Emergency Medicine Physician in Newfoundland, NJ
• Providers in Newfoundland, NJ by specialty
• Emergency Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.