Individual provider Active NPI

Yana Markidan, MD

  • Obstetrics & Gynecology Physician
  • Princeton, NJ
National Provider Identifier
1629233903
Registry record updated May 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
25MA09170900 Issued in NJ
Practice address
601 Ewing Street
Building C, Suite C13
Princeton, NJ 08540-2757
Phone
(609) 683-3661
NPI assigned
Jul 25, 2008
Last updated
May 18, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 18, 2022

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 25MA09170900 NJ Primary

Addresses

Primary practice location

601 Ewing Street
Building C, Suite C13
Princeton, NJ 08540-2757

Mailing address

6 Margaret CT
Princeton Junction, NJ 08550-5114
Phone (609) 683-3661

Other practice location 1

601 Ewing Street
Building C, Suite C13
Princeton, NJ 08540-2757
Phone (609) 683-3661

Other practice location 2

1 Plainsboro Rd
Yana Markidan, MD, Labor and Delivery, 6th Floor
Plainsboro, NJ 08536-1913
Phone (609) 853-7000

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
I20130628000155 NJ Practitioner - Obstetrics/Gynecology 8628218468 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
George Washington University School of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

601 Ewing St
Building C Suite C13
Princeton, NJ 08540-2758
Phone (609) 683-3661

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA09170900NJMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Markidan Health CurrentSince May 1, 2022 Accepting new patients
Lifeline Medical Associates, LLC Obstetrics & Gynecology PastSince Feb 1, 2020 Accepting new patients

Locations

601 Ewing St
Ste C13
Princeton, NJ 08540
Phone (609) 924-5242

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: yana.markidan.1@26081.direct.athenahealth.com

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": "1216944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652832000000",
    "number": "1629233903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 MARGARET CT",
            "city": "PRINCETON JUNCTION",
            "state": "NJ",
            "postal_code": "085505114",
            "telephone_number": "609-683-3661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 EWING STREET",
            "address_2": "BUILDING C, SUITE C13",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "085402757",
            "telephone_number": "609-683-3661"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "601 Ewing Street",
            "address_2": "Building C, Suite C13",
            "address_purpose": "LOCATION",
            "city": "Princeton",
            "state": "NJ",
            "postal_code": "085402757",
            "country_code": "US",
            "telephone_number": "609-683-3661",
            "fax_number": "609-924-5759",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Plainsboro Rd",
            "address_2": "Yana Markidan, MD, Labor and Delivery, 6th Floor",
            "address_purpose": "LOCATION",
            "city": "Plainsboro",
            "state": "NJ",
            "postal_code": "085361913",
            "country_code": "US",
            "telephone_number": "609-853-7000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARKIDAN",
        "first_name": "YANA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-25",
        "last_updated": "2022-05-18",
        "certification_date": "2022-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NJ",
            "license": "25MA09170900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Princeton, NJ

Sources for this page

Verify at the official NPI Registry.