Active NPI
Rachel Mara Yanosh, MS, LAT, ATC, EMT
- Athletic Trainer
- Newark, NJ
National Provider Identifier
1912487679
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 25MT00205900
- Practice address
- 42 Warren St
Newark, NJ 07102-1805 - Phone
- (973) 271-4270
- NPI assigned
- Aug 21, 2018
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 25MT00205900 | NJ | Primary |
Addresses
Primary practice location
42 Warren St
Newark, NJ 07102-1805
Mailing address
42 Warren St
Newark, NJ 07102-1805
Phone (973) 271-4270
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Emergency Medical Technician, Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MT00205900 | NJ | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1534809600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1652054400000",
"number": "1912487679",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "42 WARREN ST",
"city": "NEWARK",
"state": "NJ",
"postal_code": "071021805",
"telephone_number": "973-271-4270"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "42 WARREN ST",
"city": "NEWARK",
"state": "NJ",
"postal_code": "071021805",
"telephone_number": "973-271-4270"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YANOSH",
"first_name": "RACHEL",
"middle_name": "MARA",
"credential": "MS, LAT, ATC, EMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-08-21",
"last_updated": "2022-05-09",
"certification_date": "2022-05-09",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "NJ",
"license": "25MT00205900",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Newark, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.