Individual provider Active NPI

Yodit J. Keflemariam, MD

  • Obstetrics & Gynecology Physician
  • Meadowbrook, PA
National Provider Identifier
1801989777
Registry record updated Jul 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
MD435123 Issued in PA
Practice address
1648 Huntingdon Pike
Meadowbrook, PA 19046
Phone
(215) 938-4602
NPI assigned
Oct 2, 2006
Last updated
Jul 2, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 25MA08102600 NJ
Obstetrics & Gynecology Physician 207V00000X MD435123 PA Primary

Addresses

Primary practice location

1648 Huntingdon Pike
Meadowbrook, PA 19046

Mailing address

1648 Huntingdon Pike
Meadowbrook, PA 19046-8001
Phone (215) 938-4602

Other identifiers 1

IdentifierTypeStateIssuer
036095796MedicaidIL

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
I20070627000100 NJ Practitioner - Obstetrics/Gynecology 9931208261 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA08102600NJMDObstetrics & Gynecology Physician
MD435123PAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Neighborhood Health Services Corporation CurrentSince Aug 12, 2017 Accepting new patients
DHP of New Jersey PA Obstetrics & Gynecology CurrentSince Aug 10, 2012 Accepting new patients
Neighborhood Health Services Corporation CurrentSince Aug 12, 2017 Accepting new patients
New Jersey Physician Consultants Solutions, PA Obstetrics & Gynecology Past Accepting new patients
Centegra Primary Care, LLC Obstetrics & Gynecology Past Accepting new patients
Lifeline Medical Associates, LLC Obstetrics & Gynecology Past Accepting new patients

Locations

65 James St
Edison, NJ 08820
Phone (732) 321-7010

1700 Myrtle Ave
#58
Plainfield, NJ 07063
Phone (908) 753-6401

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/13669/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: yodit.keflemariam.p1@direct.nhscnj.nextgenshare.com

Organizations & group practices 6

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": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1278028800000",
    "number": "1801989777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1648 HUNTINGDON PIKE",
            "city": "MEADOWBROOK",
            "state": "PA",
            "postal_code": "190468001",
            "telephone_number": "215-938-4602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1648 HUNTINGDON PIKE",
            "city": "MEADOWBROOK",
            "state": "PA",
            "postal_code": "19046",
            "telephone_number": "215-938-4602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEFLEMARIAM",
        "first_name": "YODIT",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-02",
        "last_updated": "2010-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NJ",
            "license": "25MA08102600",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "PA",
            "license": "MD435123",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036095796",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Meadowbrook, PA

Sources for this page

Verify at the official NPI Registry.