Active NPI
Jeffrey S Yablon, MD
- Neurological Surgery Physician
- Mooresville, NC
National Provider Identifier
1700860749
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurological Surgery Physician
- License
- MD036026E
- Practice address
- 167 Gateway Blvd
Mooresville, NC 28117-5540 - Phone
- (610) 506-9871
- NPI assigned
- Dec 2, 2005
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Neurological Surgery Physician | 207T00000X | MD036026E | PA | Primary |
Addresses
Primary practice location
167 Gateway Blvd
Mooresville, NC 28117-5540
Mailing address
44 Burning Tree CT
Napa, CA 94558-1508
Phone (610) 506-9871
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
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 88863 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133481600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1297123200000",
"number": "1700860749",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "44 BURNING TREE CT",
"city": "NAPA",
"state": "CA",
"postal_code": "945581508",
"telephone_number": "610-506-9871"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "167 GATEWAY BLVD",
"city": "MOORESVILLE",
"state": "NC",
"postal_code": "281175540",
"telephone_number": "610-506-9871"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YABLON",
"first_name": "JEFFREY",
"middle_name": "S",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-12-02",
"last_updated": "2011-02-08",
"status": "A"
},
"taxonomies": [
{
"code": "207T00000X",
"taxonomy_group": "",
"desc": "Neurological Surgery",
"state": "PA",
"license": "MD036026E",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mooresville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.