Active NPI
Yelena Rybak, CRNP
- Nurse Practitioner
- Philadelphia, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- SP020907
- Practice address
- 8012 Frankford Ave
Philadelphia, PA 19136-2616 - Phone
- (215) 516-6830
- Fax
- (215) 333-2748
- NPI assigned
- Oct 16, 2019
- Last updated
- Jul 29, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | SP020907 | PA | Primary |
| Cardiovascular Disease Physician | 207RC0000X | SP020907 | PA |
Addresses
Primary practice location
8012 Frankford Ave
Philadelphia, PA 19136-2616
Mailing address
8012 Frankford Ave
Philadelphia, PA 19136-2616
Phone (215) 516-6830
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1201 Langhorne Newtown Rd
Langhorne, PA 19047-1201
2601 Holme Ave
Philadelphia, PA 19152-2007
Phone (267) 957-7027
2630 Holme Ave
Suite 200
Philadelphia, PA 19152-3004
Phone (215) 335-6270
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP020907 | PA | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Trinity Health Mid-Atlantic Medical Group | Current | Accepting new patients | |
| Trinity Health Mid-Atlantic Medical Group | Current | Accepting new patients | |
| Trinity Health Mid-Atlantic Medical Group | Current | Accepting new patients | |
| Trinity Health Mid-Atlantic Medical Group | Past | Accepting new patients | |
| Nazareth Physician Services, Inc | Past | Accepting new patients | |
| Trinity Health Mid-Atlantic Medical Group | Cardiovascular Disease | Past | Accepting new patients |
Locations
1201 Langhorne Newtown Rd
Penndel, PA 19047
Phone (215) 710-2100
2701 Holme Ave
Ste 100
Philadelphia, PA 19152
Phone (215) 335-3972
8012 Frankford Ave
Philadelphia, PA 19136
Phone (215) 516-6828
Interoperability endpoints
- yrybak2013100@direct.trinity-health.org
Organizations & group practices 6
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.
-
dba THMA MG Surgical Associates Holme
- Surgery Physician
- Langhorne, PA
- NPI 1972982361
-
- Family Medicine Physician
- Langhorne, PA
- NPI 1073713996
-
- Physical Medicine & Rehabilitation Physician
- Philadelphia, PA
- NPI 1639039175
-
- Family Medicine Physician
- Philadelphia, PA
- NPI 1215452982
-
dba THMA MG Trauma Service Langhorne
- Trauma Surgery Physician
- Langhorne, PA
- NPI 1093771271
-
dba THMA MG Cardiology Darby
- Cardiovascular Disease Physician
- Langhorne, PA
- NPI 1902165780
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Langhorne, PA
- NPI 1780686931
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1571184000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1659052800000",
"number": "1952943458",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8012 FRANKFORD AVE",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191362616",
"telephone_number": "215-516-6830",
"fax_number": "215-333-2748"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8012 FRANKFORD AVE",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191362616",
"telephone_number": "215-516-6830",
"fax_number": "215-333-2748"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RYBAK",
"first_name": "YELENA",
"credential": "CRNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-10-16",
"last_updated": "2022-07-29",
"certification_date": "2022-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "PA",
"license": "SP020907",
"primary": true
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "PA",
"license": "SP020907",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2022; 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.