Individual provider Active NPI

Michael Yoslov, D.O., FACOI

  • Nephrology Physician
  • Vineland, NJ
National Provider Identifier
1780653956
Registry record updated Jan 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
25MB07127400 Issued in NJ
Practice address
1206 W. Sherman Avenue
Building #3, Suite a
Vineland, NJ 08360
Phone
(856) 692-0673
Fax
(856) 692-1460
NPI assigned
Mar 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 25MB07127400 NJ Primary

Addresses

Primary practice location

1206 W. Sherman Avenue
Building #3, Suite a
Vineland, NJ 08360

Mailing address

1206 W. Sherman Avenue
Building #3, Suite a
Vineland, NJ 08360
Phone (856) 692-0673

Other identifiers 13

IdentifierTypeStateIssuer
1050686OtherHORIZON MERCY
1K7727OtherHEALTH NET
1136926OtherFIRST HEALTH
985657OtherKEYSTONE
2500177OtherAETNA HMO
8296707MedicaidNJ
922296OtherAMERIHEALTH PPO
1551342OtherAARP
5325482OtherAETNA PPO
223586136OtherATLANTICARE
880224211OtherPALMETTO
1000309500OtherAMERICHOICE
0863643000OtherAMERIHEALTH HMO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, PA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20100925000085 NJ Practitioner - NephrologyPractitioner - Internal Medicine 9133270606 Reassigns benefits to 2 organizations
I20160122000425 PA Practitioner - Internal MedicinePractitioner - Nephrology 9133270606 Practice locations: Philadelphia, PA

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
University of Iowa, RJ & L Carver College of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northeast Kidney Care LLCGroup PAC ID 8921445032, 66 clinicians

Practice addresses (Care Compare)

1206 W Sherman Ave
BLDG 3
Vineland, NJ 08360-6916
Phone (856) 692-0673

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Nephrology and Hypertension Nephrology CurrentSince Dec 1, 2016 Accepting new patients
Northeast Kidney Care LLC Nephrology CurrentSince Apr 1, 2024 Accepting new patients
Fresenius Medical Care Bridgeton, LLC PastSince Dec 1, 2016 Accepting new patients

Locations

210 Jack Martin Blvd
Ste D1
Brick, NJ 08724
Phone (732) 341-4600

83 Hanover Rd
Ste 290
Florham Park, NJ 07932
Phone (973) 259-0278

1206 W Sherman Ave
Bldg 3
Vineland, NJ 08360
Phone (856) 692-0673

1206 W Sherman Ave
Ste 3
Vineland, NJ 08360
Phone (856) 692-0673

201 Laurel Oak Rd
#B
Voorhees, NJ 08043
Phone (856) 566-5478

Interoperability endpoints

  • Direct secure messaging: myoslov29475@direct.acumenmd.com

Organizations & group practices 3

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

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1142553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1516579200000",
    "number": "1780653956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1206 W. SHERMAN AVENUE",
            "address_2": "BUILDING #3, SUITE A",
            "city": "VINELAND",
            "state": "NJ",
            "postal_code": "08360",
            "telephone_number": "856-692-0673",
            "fax_number": "856-692-1460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1206 W. SHERMAN AVENUE",
            "address_2": "BUILDING #3, SUITE A",
            "city": "VINELAND",
            "state": "NJ",
            "postal_code": "08360",
            "telephone_number": "856-692-0673",
            "fax_number": "856-692-1460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOSLOV",
        "first_name": "MICHAEL",
        "credential": "D.O., FACOI",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-17",
        "last_updated": "2018-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NJ",
            "license": "25MB07127400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HORIZON MERCY",
            "identifier": "1050686",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH NET",
            "identifier": "1K7727",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST HEALTH",
            "identifier": "1136926",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE",
            "identifier": "985657",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO",
            "identifier": "2500177",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8296707",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH PPO",
            "identifier": "922296",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AARP",
            "identifier": "1551342",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PPO",
            "identifier": "5325482",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ATLANTICARE",
            "identifier": "223586136",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO",
            "identifier": "880224211",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICHOICE",
            "identifier": "1000309500",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH HMO",
            "identifier": "0863643000",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Vineland, NJ

Sources for this page

Verify at the official NPI Registry.