Jack Adam Yanovski, MD, PHD

Primary specialty

Pediatric Endocrinology PhysicianTaxonomy code 2080P0205X

License

D38535 Issued in MD

Practice address

10 Center Dr
Nih Hatfield CRC, RM 1E-3330 MSC 1103
Bethesda, MD 20892-1103

Phone

(301) 496-0858

Fax

(301) 402-0574

NPI assigned

Mar 28, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MD

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine, Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1720107931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12035 MONTROSE VILLAGE TER",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208524162",
            "telephone_number": "301-230-0186",
            "fax_number": "301-402-0574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 CENTER DR",
            "address_2": "NIH HATFIELD CRC, RM 1E-3330 MSC 1103",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208921103",
            "telephone_number": "301-496-0858",
            "fax_number": "301-402-0574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YANOVSKI",
        "first_name": "JACK",
        "middle_name": "ADAM",
        "name_prefix": "Dr.",
        "credential": "MD, PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0205X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Endocrinology",
            "state": "MD",
            "license": "D38535",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wei Yang
• Weilin Yang, M.D.
• William Edward Yang, MD
• Yangyi Acupuncture LLC
• Nicole M Yanjanin, CRNP
• Susan Yanovski, MD
• Mohamed Yansane
• Michael D. Yao, MD
• Angel Yarbor
• Charles Milton Yarborough III, M.D.

• Pediatric Endocrinology Physician in Bethesda, MD
• Providers in Bethesda, MD by specialty
• Pediatric Endocrinology Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.