Yelena Maryams, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

27OA00583500 Issued in NJ

Practice address

900 Stuyvesant Ave
Union, NJ 07083

Phone

(908) 687-0330

Fax

(908) 687-0139

NPI assigned

Jan 13, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NJ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

State University of New York - State College Optometry, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Marlboro Family Eye Care IncGroup PAC ID 9335361351, 3 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

0 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

0

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Marlboro Family Eye Care, Inc.

  • Optometrist
  • Marlboro, NJ
  • NPI 1194135673
  Medicare reassignment Care Compare group NPD
• Eyes on Island Inc.

  • Optician
  • Staten Island, NY
  • NPI 1659429850

  Optometrist

  NPD (past)
• Park Slope Physician Services PC

  • Internal Medicine Physician
  • Brooklyn, NY
  • NPI 1013018324
  NPD (past)

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

{
    "created_epoch": "1137110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1740269034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 STUYVESANT AVE",
            "city": "UNION",
            "state": "NJ",
            "postal_code": "07083",
            "telephone_number": "908-687-0330",
            "fax_number": "908-687-0139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 STUYVESANT AVE",
            "city": "UNION",
            "state": "NJ",
            "postal_code": "07083",
            "telephone_number": "908-687-0330",
            "fax_number": "908-687-0139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARYAMS",
        "first_name": "YELENA",
        "name_prefix": "Mrs.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00583500",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27TO00122500",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "8683682",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lauren R Martin, MD
• Taylah Martin, NP
• TSR Jamaal Martin, ATC
• Anny Martinez-Payano, MSN, RN CMGT-BC
• Paul Renion Martinez, PT
• Richard T. Massarelli, D.C.
• Michael Mastropasqua, DPT
• Arun Reji Mathew, M.D.
• Matthew S Coons MD
• Brandon Mayorga, DPT

• Optometrist in Union, NJ
• Providers in Union, NJ by specialty
• Optometrist in New Jersey

• 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.