Organization Active NPI

Yufit Orthopedics LLC

  • Orthopaedic Trauma Physician
  • Hackensack, NJ
National Provider Identifier
1629632872
Registry record updated Jan 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Trauma PhysicianTaxonomy code 207XX0801X
Legal business name
YUFIT ORTHOPEDICS LLC
Practice address
214 State St Ste 101
Hackensack, NJ 07601-5521
Phone
(201) 342-7662
Fax
(201) 342-7663
NPI assigned
Apr 23, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2021

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

Authorized official

Name
Pavel V Yufit, MDNPI 1093984890
Title
Owner
Phone
(917) 459-3251

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Trauma PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207XX0801X Primary

Addresses

Primary practice location

214 State St Ste 101
Hackensack, NJ 07601-5521

Mailing address

214 State St Ste 101
Hackensack, NJ 07601-5521
Phone (201) 342-7662

Other practice location 1

144 S Mountain Ave
Montclair, NJ 07042-1721
Phone (917) 459-3251

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210824000697 NJ Part B Supplier - Clinic/Group Practice 2365847761 Receives reassigned benefits from 1 practitioner
Practice locations: Hackensack, NJ

National Provider Directory

National Provider Directory

Locations

214 State St
Ste 101
Hackensack, NJ 07601
Phone (201) 342-7662

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1555977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611273600000",
    "number": "1629632872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 STATE ST STE 101",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076015521",
            "telephone_number": "201-342-7662",
            "fax_number": "201-342-7663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 STATE ST STE 101",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076015521",
            "telephone_number": "201-342-7662",
            "fax_number": "201-342-7663"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "144 S Mountain Ave",
            "address_purpose": "LOCATION",
            "city": "Montclair",
            "state": "NJ",
            "postal_code": "070421721",
            "country_code": "US",
            "telephone_number": "917-459-3251",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "YUFIT ORTHOPEDICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-23",
        "last_updated": "2021-01-22",
        "certification_date": "2021-01-22",
        "status": "A",
        "authorized_official_last_name": "YUFIT",
        "authorized_official_first_name": "PAVEL",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "917-459-3251",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207XX0801X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery, Orthopaedic Trauma",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hackensack, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.