Active NPI
Justin Yucht, DO
- Sports Medicine (Physical Medicine & Rehabilitation) Physician
- Verona, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Physical Medicine & Rehabilitation) Physician
- License
- 25MB09847300
- Practice address
- 271 Grove Ave Ste a
Verona, NJ 07044-1731 - Phone
- (973) 239-2600
- Fax
- (973) 239-8650
- NPI assigned
- May 13, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Medicine (Physical Medicine & Rehabilitation) Physician | 2081S0010X | 25MB09847300 | NJ | Primary |
Addresses
Primary practice location
271 Grove Ave Ste a
Verona, NJ 07044-1731
Mailing address
700 Route 46 E Ste 450
Fairfield, NJ 07004-1583
Phone (973) 559-3700
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
Care Compare profile
Medicare Care Compare- Specialty
- Physical Medicine and Rehabilitation
- Education
- Rowan University School of Osteopathic Medicine, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
271 Grove Ave
Suite a
Verona, NJ 07044-1731
Phone (973) 239-2600
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Primary Care for the Homebound PA | Current | Accepting new patients | |
| Vanguard Medical Group, PA | Sports Medicine | Current | Accepting new patients |
Locations
700 Route 46 E
Ste 450
Fairfield, NJ 07004
Phone (973) 559-3700
72 Hamburg Tpke
Ste B
Riverdale, NJ 07457
Phone (833) 488-1216
271 Grove Ave
Ste A
Verona, NJ 07044
Phone (973) 239-2600
Interoperability endpoints
- https://api.platform.athenahealth.com/25493/brand/1/csg/1/fhir/r4
- justin.yucht.1@25493.direct.athenahealth.com
Organizations & group practices 2
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.
-
- Home Health Agency
- Verona, NJ
- NPI 1609206671
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1305244800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1593388800000",
"number": "1912299579",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "700 ROUTE 46 E STE 450",
"city": "FAIRFIELD",
"state": "NJ",
"postal_code": "070041583",
"telephone_number": "973-559-3700",
"fax_number": "973-559-8650"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "271 GROVE AVE STE A",
"city": "VERONA",
"state": "NJ",
"postal_code": "070441731",
"telephone_number": "973-239-2600",
"fax_number": "973-239-8650"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YUCHT",
"first_name": "JUSTIN",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-05-13",
"last_updated": "2020-06-29",
"certification_date": "2020-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "2081S0010X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation, Sports Medicine",
"state": "NJ",
"license": "25MB09847300",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Verona, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2020; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.