Active NPI
Yodit J. Keflemariam, MD
- Obstetrics & Gynecology Physician
- Meadowbrook, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- MD435123
- Practice address
- 1648 Huntingdon Pike
Meadowbrook, PA 19046 - Phone
- (215) 938-4602
- NPI assigned
- Oct 2, 2006
- Last updated
- Jul 2, 2010
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036095796 | Medicaid | IL |
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA08102600 | NJ | MD | Obstetrics & Gynecology Physician |
| MD435123 | PA | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Neighborhood Health Services Corporation | Current | Accepting new patients | |
| DHP of New Jersey PA | Obstetrics & Gynecology | Current | Accepting new patients |
| Neighborhood Health Services Corporation | Current | 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
- https://api.platform.athenahealth.com/13669/brand/1/csg/1/fhir/r4
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- 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.
-
- Obstetrics & Gynecology Physician
- Edison, NJ
- NPI 1275896516
-
dba Neighborhood Health Center - Phillipsburg
- Federally Qualified Health Center (FQHC)
- Phillipsburg, NJ
- NPI 1003850488
-
dba Neighborhood Health Center - Elizabeth
- Federally Qualified Health Center (FQHC)
- Elizabeth, NJ
- NPI 1538383666
-
dba Centegra Physician Care, LLC
- Family Medicine Physician
- Woodstock, IL
- NPI 1700905205
Obstetrics & Gynecology
-
- Obstetrics & Gynecology Physician
- Florham Park, NJ
- NPI 1821041617
-
- Obstetrics & Gynecology Physician
- Edison, NJ
- NPI 1396071403
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2010; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.