Active NPI
Yaroslav Fedyk
- Occupational Health Chiropractor
- Doylestown, PA
National Provider Identifier
1659918142
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Health Chiropractor
- License
- 111NX0100X
- Practice address
- 3044 Antler Dr
Doylestown, PA 18902-1901 - Phone
- (267) 234-3143
- NPI assigned
- Dec 4, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Health Chiropractor | 111NX0100X | 111NX0100X | PA | Primary |
Addresses
Primary practice location
3044 Antler Dr
Doylestown, PA 18902-1901
Mailing address
3044 Antler Dr
Doylestown, PA 18902-1901
Phone (267) 234-3143
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 111NX0100X | PA | MD | Occupational Health Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1575417600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1575417600000",
"number": "1659918142",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3044 ANTLER DR",
"city": "DOYLESTOWN",
"state": "PA",
"postal_code": "189021901",
"telephone_number": "267-234-3143"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3044 ANTLER DR",
"city": "DOYLESTOWN",
"state": "PA",
"postal_code": "189021901",
"telephone_number": "267-234-3143"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FEDYK",
"first_name": "YAROSLAV",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-12-04",
"last_updated": "2019-12-04",
"status": "A"
},
"taxonomies": [
{
"code": "111NX0100X",
"taxonomy_group": "",
"desc": "Chiropractor, Occupational Health",
"state": "PA",
"license": "111NX0100X",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Doylestown, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.