Active NPI
Shirley Yanavok
- Driver
- Phillipsburg, NJ
National Provider Identifier
1942794045
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Driver
- License
- Y03817087354725
- Practice address
- 501A S Main St
Phillipsburg, NJ 08865-3137 - Phone
- (908) 763-7358
- NPI assigned
- Jun 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 |
|---|---|---|---|---|
| Driver | 172A00000X | Y03817087354725 | NJ | Primary |
Addresses
Primary practice location
501A S Main St
Phillipsburg, NJ 08865-3137
Mailing address
501A S Main St
Phillipsburg, NJ 08865-3137
Phone (908) 763-7358
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Y03817087354725 | Other | NJ | DRIVER LICENSE |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| Y03817087354725 | NJ | MD | Driver |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1529539200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1529539200000",
"number": "1942794045",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "501A S MAIN ST",
"city": "PHILLIPSBURG",
"state": "NJ",
"postal_code": "088653137",
"telephone_number": "908-763-7358"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501A S MAIN ST",
"city": "PHILLIPSBURG",
"state": "NJ",
"postal_code": "088653137",
"telephone_number": "908-763-7358"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YANAVOK",
"first_name": "SHIRLEY",
"name_prefix": "Ms.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-06-21",
"last_updated": "2018-06-21",
"status": "A"
},
"taxonomies": [
{
"code": "172A00000X",
"taxonomy_group": "",
"desc": "Driver",
"state": "NJ",
"license": "Y03817087354725",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DRIVER LICENSE",
"identifier": "Y03817087354725",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Phillipsburg, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.