Individual provider Active NPI

Elaine M Yonclas, MD

  • Specialist
  • Montclair, NJ
National Provider Identifier
1760483200
Registry record updated Nov 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
25MA07733100 Issued in NJ
Practice address
41 Watchung Ave
Suite 510
Montclair, NJ 07042
Phone
(973) 255-1155
NPI assigned
Aug 9, 2005
Last updated
Nov 14, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 25MA07733100 NJ Primary

Addresses

Primary practice location

41 Watchung Ave
Suite 510
Montclair, NJ 07042

Mailing address

41 Watchung PLZ
Suite 510
Montclair, NJ 07042-4117
Phone (973) 255-1155

Other identifiers 4

IdentifierTypeStateIssuer
0152722OtherNJGHI PPO
2850129000OtherNJAMERIHEALTH #
3K3539OtherNJHEALTHNET #
P00169458OtherNJRR MDCR #

Medicare participation

Medicare enrollment files
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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040929000629 NJ Practitioner - Physical Medicine and Rehabilitation 0244209922 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
State University of New York Downstate Medical Center, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physical Medicine and Rehabilitation Associates LLCGroup PAC ID 9537399894, 3 clinicians

Practice addresses (Care Compare)

555 Chestnut Ridge Rd
Woodcliff Lake, NJ 07677-8417
Phone (973) 255-1155

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Quality
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Physical Medicine and Rehabilitation Associates LLC CurrentSince Dec 3, 2013 Accepting new patients
Rehabilitation Specialists of New Jersey, LLC Specialist PastSince Jan 23, 2017 Accepting new patients

Locations

1 Cooper Ave
Long Branch, NJ 07740
Phone (732) 728-2270

41 Watchung Plz
Montclair, NJ 07042
Phone (888) 543-7726

20 Summit St
West Orange, NJ 07052
Phone (973) 736-2000

555 Chestnut Ridge Rd
Woodcliff Lake, NJ 07677
Phone (201) 391-0900

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1123545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1384387200000",
    "number": "1760483200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 WATCHUNG PLZ",
            "address_2": "SUITE 510",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070424117",
            "telephone_number": "973-255-1155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 WATCHUNG AVE",
            "address_2": "SUITE 510",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "07042",
            "telephone_number": "973-255-1155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YONCLAS",
        "first_name": "ELAINE",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-09",
        "last_updated": "2013-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NJ",
            "license": "25MA07733100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI PPO",
            "identifier": "0152722",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH #",
            "identifier": "2850129000",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET #",
            "identifier": "3K3539",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MDCR #",
            "identifier": "P00169458",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Montclair, NJ

Sources for this page

Verify at the official NPI Registry.