Individual provider Active NPI

Yelena Y Shrayber, D.O.

  • Family Medicine Physician
  • Philadelphia, PA
National Provider Identifier
1922038199
Registry record updated Nov 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS011910 Issued in PA
Practice address
10160 Bustleton Ave Ste B
Philadelphia, PA 19116-3749
Phone
(215) 677-0501
Fax
(215) 673-0409
NPI assigned
Jul 4, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 28, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 25MB07668300 NJ
Family Medicine Physician 207Q00000X OS011910 PA Primary

Addresses

Primary practice location

10160 Bustleton Ave Ste B
Philadelphia, PA 19116-3749

Mailing address

10160 Bustleton Ave Ste B
Philadelphia, PA 19116-3749
Phone (215) 677-0501

Other practice location 1

295 Buck Rd Ste 108
Southampton, PA 18966-1748
Phone (215) 364-7478

Other identifiers 1

IdentifierTypeStateIssuer
0070483MedicaidNJ

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220609001770 PA Practitioner - Family Practice 3476548942 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1101 Market St
Philadelphia, PA 19107-2955

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper gastrointestinal (GI) endoscopy for acid reflux1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
OS011910PAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Aria Health Physician Services Family Medicine CurrentSince Jul 1, 2022 Accepting new patients
Cardiology Consultants of Greater Philadelphia PC CurrentSince Jan 6, 2013 Accepting new patients
Aria Health Physician Services Family Medicine Current Accepting new patients
Aria Health Physician Services Family Medicine CurrentSince Jul 1, 2022 Accepting new patients
Levittown Family Medical Center, P.C. Family Medicine PastSince Mar 13, 1998 Accepting new patients

Locations

1305 Kings Hwy N
Ste 4
Cherry Hill, NJ 08034
Phone (856) 354-0069

240 Middletown Blvd
Ste 101C
Langhorne, PA 19047
Phone (215) 550-9999

10160 Bustleton Ave
Ste C
Philadelphia, PA 19116
Phone (215) 671-3920

5000 Frankford Ave
Ste 1B
Philadelphia, PA 19124
Phone (215) 583-2355

295 Buck Rd
Ste 108
Southampton, PA 18966
Phone (215) 364-7478

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669593600000",
    "number": "1922038199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10160 BUSTLETON AVE STE B",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191163749",
            "telephone_number": "215-677-0501",
            "fax_number": "215-673-0409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10160 BUSTLETON AVE STE B",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191163749",
            "telephone_number": "215-677-0501",
            "fax_number": "215-673-0409"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "295 Buck Rd Ste 108",
            "address_purpose": "LOCATION",
            "city": "Southampton",
            "state": "PA",
            "postal_code": "189661748",
            "country_code": "US",
            "telephone_number": "215-364-7478",
            "fax_number": "215-364-7746",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHRAYBER",
        "first_name": "YELENA",
        "middle_name": "Y",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-04",
        "last_updated": "2022-11-28",
        "certification_date": "2022-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MB07668300",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS011910",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0070483",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.