Individual provider Active NPI

Jordan M Yakoby, NP

  • Neurocritical Care Physician
  • Camden, NJ
National Provider Identifier
1811364375
Registry record updated Dec 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurocritical Care PhysicianTaxonomy code 2084A2900X
License
26NJ00587000 Issued in NJ
Practice address
1 Cooper PLZ
Camden, NJ 08103
Phone
(800) 826-6737
NPI assigned
Aug 31, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 2, 2020

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 26NJ00587000 NJ
Neurocritical Care Physician 2084A2900X F431419 NY
Acute Care Nurse Practitioner 363LA2100X F431419 NY
Neurocritical Care Physician 2084A2900X 26NJ00587000 NJ Primary

Addresses

Primary practice location

1 Cooper PLZ
Camden, NJ 08103

Mailing address

1 Federal St # 200
Camden, NJ 08103-1088
Phone (856) 356-4924

Other practice location 1

65 James St
Edison, NJ 08820-3903
Phone (732) 321-7000

Other practice location 2

2 Capital Way
Suite 456
Pennington, NJ 08534-2521
Phone (609) 537-7300

Other practice location 3

1 Cooper Plz
Camden, NJ 08103
Phone (800) 826-6737

Other identifiers 3

IdentifierTypeStateIssuer
660553MedicaidPA
660541MedicaidPA
0474215MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, NY2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20160331000861 NJ Practitioner - Nurse Practitioner 4587961834 Reassigns benefits to 6 organizations
I20190828002491 NY Practitioner - Nurse Practitioner 4587961834 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
26NJ00587000NJMDNeurocritical Care Physician
F431419NYMDNeurocritical Care Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hackensack Meridian Health Medical Group - Specialty Care PC CurrentSince Jan 1, 2023 Accepting new patients
CMC Department of Medicine Group PA CurrentSince May 31, 2019 Accepting new patients
Atlanticare Physician Group, PA CurrentSince Jan 20, 2019 Accepting new patients
Lawrence Medical Associates, PC CurrentSince Sep 9, 2019 Accepting new patients
New York University CurrentSince Aug 5, 2019 Accepting new patients
North Shore - Lij Medical PC CurrentSince Aug 5, 2021 Accepting new patients
Lawrence Medical Associates, PC Current Accepting new patients
Hackensack Meridian Health Medical Group - Specialty Care PC CurrentSince Jan 1, 2023 Accepting new patients
St. Joseph'S Healthcare, Inc. CurrentSince Apr 7, 2021 Accepting new patients
Capital Health Multispecialty Group CurrentSince Sep 13, 2016 Accepting new patients
New York University CurrentSince Aug 5, 2019 Accepting new patients
Atlanticare Physician Group PA Current Accepting new patients
St Josephs Medical Group PC CurrentSince Nov 2, 2021 Accepting new patients
North Shore-Lij Medical PC CurrentSince Aug 5, 2021 Accepting new patients
Atlanticare Physician Group CurrentSince Jan 20, 2019 Accepting new patients
CMC Department of Medicine Group PA CurrentSince May 31, 2019 Accepting new patients

Locations

1925 Pacific Ave
Atlantic City, NJ 08401
Phone (609) 441-8023

1 Cooper Plz
Camden, NJ 08103
Phone (856) 342-2425

1 Federal St
#200
Camden, NJ 08103

3 Cooper Plz
Rm 215
Camden, NJ 08103
Phone (856) 342-2439

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

30 Prospect Ave
Hackensack, NJ 07601
Phone (201) 488-0066

459 Route 9 S
Little Egg Harbor Twp, NJ 08087
Phone (609) 340-7815

703 Main St
Rm XG2126
Paterson, NJ 07503
Phone (973) 754-2240

703 Main St
#G
Paterson, NJ 07503
Phone (973) 754-6331

703 Main St
Paterson, NJ 07503
Phone (973) 754-2240

1 Capital Way
Pennington, NJ 08534
Phone (609) 303-4000

2 Capital Way
Ste 456
Pennington, NJ 08534
Phone (609) 537-7277

1 Riverview Plz
Red Bank, NJ 07701
Phone (732) 530-2204

310 Salem Woodstown Rd
Salem, NJ 08079
Phone (856) 339-6054

750 Brunswick Ave
Trenton, NJ 08638
Phone (609) 394-6000

1945 State Route 33
Wall Township, NJ 07753
Phone (732) 776-2333

55 Palmer Ave
Bronxville, NY 10708
Phone (914) 787-3136

685 White Plains Rd
Fl 2
Eastchester, NY 10709
Phone (914) 787-4100

200 Old Country Rd
Ste 370
Mineola, NY 11501
Phone (516) 541-0300

300 Community Dr
Plandome, NY 11030

13303 Jamaica Ave
Richmond Hill, NY 11418
Phone (718) 206-6942

2649 Strang Blvd
Ste 304
Yorktown Heights, NY 10598
Phone (646) 745-6369

Interoperability endpoints

  • Direct secure messaging: jordan.yakoby@direct.hackensackmeridian.org
  • FHIR API: https://fhir4.healow.com/fhir/r4/IHJHBD

Organizations & group practices 16

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.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1440979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606867200000",
    "number": "1811364375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 FEDERAL ST # 200",
            "city": "CAMDEN",
            "state": "NJ",
            "postal_code": "081031088",
            "telephone_number": "856-356-4924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 COOPER PLZ",
            "city": "CAMDEN",
            "state": "NJ",
            "postal_code": "08103",
            "telephone_number": "800-826-6737"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "65 James St",
            "address_purpose": "LOCATION",
            "city": "Edison",
            "state": "NJ",
            "postal_code": "088203903",
            "country_code": "US",
            "telephone_number": "732-321-7000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2 Capital Way",
            "address_2": "Suite 456",
            "address_purpose": "LOCATION",
            "city": "Pennington",
            "state": "NJ",
            "postal_code": "085342521",
            "country_code": "US",
            "telephone_number": "609-537-7300",
            "fax_number": "609-537-7301",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Cooper Plz",
            "address_purpose": "LOCATION",
            "city": "Camden",
            "state": "NJ",
            "postal_code": "08103",
            "country_code": "US",
            "telephone_number": "800-826-6737",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YAKOBY",
        "first_name": "JORDAN",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-08-31",
        "last_updated": "2020-12-02",
        "certification_date": "2020-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "NJ",
            "license": "26NJ00587000",
            "primary": false
        },
        {
            "code": "2084A2900X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurocritical Care",
            "state": "NY",
            "license": "F431419",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "NY",
            "license": "F431419",
            "primary": false
        },
        {
            "code": "2084A2900X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurocritical Care",
            "state": "NJ",
            "license": "26NJ00587000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "660553",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "660541",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0474215",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Camden, NJ

Sources for this page

Verify at the official NPI Registry.