Active NPI
Elaine M Yonclas, MD
- Specialist
- Montclair, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 25MA07733100
- Practice address
- 41 Watchung Ave
Suite 510
Montclair, NJ 07042 - Phone
- (973) 255-1155
- NPI assigned
- Aug 9, 2005
- Last updated
- Nov 14, 2013
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0152722 | Other | NJ | GHI PPO |
| 2850129000 | Other | NJ | AMERIHEALTH # |
| 3K3539 | Other | NJ | HEALTHNET # |
| P00169458 | Other | NJ | RR 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
Enrollment records 1
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
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 100
- Quality
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physical Medicine and Rehabilitation Associates LLC | Current | Accepting new patients | |
| Rehabilitation Specialists of New Jersey, LLC | Specialist | Past | 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.
-
- Physical Medicine & Rehabilitation Physician
- Montclair, NJ
- NPI 1821427212
-
- Specialist
- East Hanover, NJ
- NPI 1790727220
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2013; 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.