Individual provider Active NPI

Luis A Yerovi Jr., MD

  • Obstetrics & Gynecology Physician
  • Newark, NJ
National Provider Identifier
1598822942
Registry record updated Jan 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
25MA05714900 Issued in NJ
Practice address
91 Congress St
Newark, NJ 07105-1801
Phone
(973) 344-7676
Fax
(973) 690-5109
NPI assigned
Jan 3, 2007
Last updated
Jan 21, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 21, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 25MA05714900 NJ Primary

Addresses

Primary practice location

91 Congress St
Newark, NJ 07105-1801

Mailing address

125 Garden St
Apt 4B
Hoboken, NJ 07030-8102
Phone (201) 420-7992

Other identifiers 1

IdentifierTypeStateIssuer
64901-07MedicaidNJ

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
I20110128000845 NJ Practitioner - Obstetrics/Gynecology 2961681499 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Rutgers New Jersey Medical School, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

91 Congress St
Suite 2
Newark, NJ 07105-1879
Phone (973) 344-7676

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Luis a. Yerovi MD PA CurrentSince Sep 15, 2010 Accepting new patients
Ironbound OBGYN. LLC Obstetrics & Gynecology PastSince Sep 15, 2010 Accepting new patients

Locations

91 Congress St
Ste 2
Newark, NJ 07105
Phone (973) 344-7676

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1295568000000",
    "number": "1598822942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 GARDEN ST",
            "address_2": "APT 4B",
            "city": "HOBOKEN",
            "state": "NJ",
            "postal_code": "070308102",
            "telephone_number": "201-420-7992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "91 CONGRESS ST",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071051801",
            "telephone_number": "973-344-7676",
            "fax_number": "973-690-5109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YEROVI",
        "first_name": "LUIS",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-03",
        "last_updated": "2011-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NJ",
            "license": "25MA05714900",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64901-07",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, NJ

Sources for this page

Verify at the official NPI Registry.