Active NPI
Deborah Susan Yolin-Raley, PA C
- Physician Assistant
- Boston, MA
National Provider Identifier
1669423901
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 1550
- Practice address
- 44 Binney St
Dana Farber Cancer Institute D1B30
Boston, MA 02115-6084 - Phone
- (617) 549-8714
- Fax
- (617) 278-6965
- NPI assigned
- May 12, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 1550 | MA | Primary |
Addresses
Primary practice location
44 Binney St
Dana Farber Cancer Institute D1B30
Boston, MA 02115-6084
Mailing address
12 Fox Meadows LN
Wayland, MA 01778
Phone (508) 358-2922
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)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1550 | MA | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147392000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1419206400000",
"number": "1669423901",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12 FOX MEADOWS LN",
"city": "WAYLAND",
"state": "MA",
"postal_code": "01778",
"telephone_number": "508-358-2922"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "44 BINNEY ST",
"address_2": "DANA FARBER CANCER INSTITUTE D1B30",
"city": "BOSTON",
"state": "MA",
"postal_code": "021156084",
"telephone_number": "617-549-8714",
"fax_number": "617-278-6965"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOLIN-RALEY",
"first_name": "DEBORAH",
"middle_name": "SUSAN",
"credential": "PA C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-12",
"last_updated": "2014-12-22",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MA",
"license": "1550",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.