Michael Jay Yellen, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

002978 Issued in NJ

Practice address

185 Broadway
Hillsdale, NJ 07642-2054

Phone

(201) 666-0230

Fax

(201) 722-1111

NPI assigned

Apr 24, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Hillsdale Vision Center, PC

  • Optometrist
  • Hillsdale, NJ
  • NPI 1609421148
  NPD (past)
• Louis V. Angioletti Jr. M. D., P. a.

  dba Angioletti Retina Associates

  • Ophthalmology Physician
  • Fort Lee, NJ
  • NPI 1255330593
  NPD (past)

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

{
    "created_epoch": "1145836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1267056000000",
    "number": "1831155498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "185 BROADWAY",
            "address_2": "PO BOX 487",
            "city": "HILLSDALE",
            "state": "NJ",
            "postal_code": "076422054",
            "telephone_number": "201-666-0230",
            "fax_number": "201-722-1111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "185 BROADWAY",
            "city": "HILLSDALE",
            "state": "NJ",
            "postal_code": "076422054",
            "telephone_number": "201-666-0230",
            "fax_number": "201-722-1111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YELLEN",
        "first_name": "MICHAEL",
        "middle_name": "JAY",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-24",
        "last_updated": "2010-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "002978",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00244528",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christina Warner, N.P.
• Beatriz J Wawra, LCSW
• Wellness for Life Associates Inc
• Evan T Williams, DPT
• Jayna L Woodward
• Jill Pauline Yoanides, RPH
• Tian Yuan, PHARM. D.
• Ilyse Zimmerman, OTR/L

• Optometrist in Hillsdale, NJ
• Providers in Hillsdale, NJ by specialty
• Optometrist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.