Yev Fedosenko, D.P.T

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40QA01242600 Issued in NJ

Practice address

200 Winston Dr Apt 119
Cliffside Park, NJ 07010-3209

Phone

(617) 620-2137

NPI assigned

Aug 16, 2007

Last updated

Mar 18, 2026By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Proadvantage Physical Therapy Incorporated

  • Physical Therapy Clinic/Center
  • Cliffside Park, NJ
  • NPI 1003064452
  Medicare reassignment

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

{
    "created_epoch": "1187222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773792000000",
    "number": "1922290535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 WINSTON DR APT 119",
            "city": "CLIFFSIDE PARK",
            "state": "NJ",
            "postal_code": "070103209",
            "telephone_number": "617-620-2137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 WINSTON DR APT 119",
            "city": "CLIFFSIDE PARK",
            "state": "NJ",
            "postal_code": "070103209",
            "telephone_number": "617-620-2137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FEDOSENKO",
        "first_name": "YEV",
        "credential": "D.P.T",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-08-16",
        "last_updated": "2026-03-18",
        "certification_date": "2026-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01242600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kyle Estelle, D.M.D.
• Ashraf Faltas
• George Fanous
• Alexander Farinola, DC
• Mohamed Fathelbab
• Richard Finizio, D.C.
• Jacqueline Finnen Baggio, PT
• First-Class Dental PC
• Susan Fishbein, MD
• Donald Philip Fiume, D.C.

• Physical Therapist in Cliffside Park, NJ
• Providers in Cliffside Park, NJ by specialty
• Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.