Individual provider Active NPI

Joseph C. Yellin, D.O.

  • Neurology Physician
  • Brooklyn, NY
National Provider Identifier
1700892783
Registry record updated Apr 24, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
140551 Issued in NY
Practice address
1599 E 15TH St
Ste 3
Brooklyn, NY 11230-6759
Phone
(718) 377-2223
Fax
(718) 377-4910
NPI assigned
Jul 31, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 24, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 140551 NY Primary

Addresses

Primary practice location

1599 E 15TH St
Ste 3
Brooklyn, NY 11230-6759

Mailing address

1599 E 15TH St
Ste 3
Brooklyn, NY 11230-6759
Phone (718) 377-2223

Other identifiers 1

IdentifierTypeStateIssuer
00797484MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20080829000488 NY Practitioner - Neurology 5890861769 Practice locations: Brooklyn, NY; New York, NY

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1599 E 15TH St
Brooklyn, NY 11230-6759
Phone (718) 377-2223

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
140551NYMDNeurology Physician

Interoperability endpoints

  • Direct secure messaging: jyellin66960@northwell.direct-ci.com

NPI Registry JSON

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492992000000",
    "number": "1700892783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1599 E 15TH ST",
            "address_2": "STE 3",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112306759",
            "telephone_number": "718-377-2223",
            "fax_number": "718-377-4910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1599 E 15TH ST",
            "address_2": "STE 3",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112306759",
            "telephone_number": "718-377-2223",
            "fax_number": "718-377-4910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YELLIN",
        "first_name": "JOSEPH",
        "middle_name": "C.",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-31",
        "last_updated": "2017-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NY",
            "license": "140551",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00797484",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.