Irina Yelyanovna Zelikson, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MB 073201 Issued in NJ

Practice address

57 Brant Ave
Ste.102
Clark, NJ 07066-1568

Phone

(732) 340-1006

Fax

(732) 340-1433

NPI assigned

Aug 8, 2006

Sex

Female

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

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family PracticeAlso: Osteopathic Manipulative Medicine

Education

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

The Jewish Renaissance Foundation IncGroup PAC ID 9436435781, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

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.

• Stress Care of New Jersey, LLC

  • Community/Behavioral Health Agency
  • Matawan, NJ
  • NPI 1033433834
  Medicare reassignment NPD
• The Jewish Renaissance Foundation, Inc.

  • Federally Qualified Health Center (FQHC)
  • Edison, NJ
  • NPI 1952770927
  Care Compare group
• Stress Care Medical Group

  • Internal Medicine Physician
  • Manalapan, NJ
  • NPI 1386270890
  NPD
• Stress Care of New Jersey, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Somerset, NJ
  • NPI 1982345567
  NPD
• Advance Chiropractic Clinics P C

  • Health Service Clinic/Center
  • Clark, NJ
  • NPI 1194118752
  NPD (past)
• Advanced Chiropractic Healthcare, LLC

  • Chiropractor
  • Clark, NJ
  • NPI 1750579405
  NPD (past)

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

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1942210380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44 CATHERINE CT",
            "city": "LAURENCE HBR",
            "state": "NJ",
            "postal_code": "088792907",
            "telephone_number": "732-441-3772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "57 BRANT AVE",
            "address_2": "STE.102",
            "city": "CLARK",
            "state": "NJ",
            "postal_code": "070661568",
            "telephone_number": "732-340-1006",
            "fax_number": "732-340-1433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZELIKSON",
        "first_name": "IRINA",
        "middle_name": "YELYANOVNA",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "MB 073201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vy Thuc Wu, PHARMD
• Rushabh Yajnik
• Samantha Young
• Waleade Omowumi Yusuf
• Nicholas George Zeik, D.D.S., M.S.
• Jessie Zhou
• Donald Zimmerman, DDS
• George J Zobel, DO

• Family Medicine Physician in Clark, NJ
• Providers in Clark, NJ by specialty
• Family Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.

Verify at the official NPI Registry.