Individual provider Active NPI

Laura H. Yurkovic, PA-C

  • Physician Assistant
  • Fair Lawn, NJ
National Provider Identifier
1962799544
Registry record updated Jan 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
25MP00257100 Issued in NJ
Practice address
2-22 Banta PL
Fair Lawn, NJ 07410-3058
Phone
(201) 380-6930
NPI assigned
Jul 5, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 25MP00257100 NJ Primary

Addresses

Primary practice location

2-22 Banta PL
Fair Lawn, NJ 07410-3058

Mailing address

1455 Broad St Ste 250
Bloomfield, NJ 07003-3066
Phone (877) 532-7837

Other names 1

  • Laura H Misthal Former name

Medicare participation

Medicare enrollment files
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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110729000486 NJ Practitioner - Physician Assistant 8325216773 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
All Be Healthy LLCGroup PAC ID 1951796622, 94 clinicians

Practice addresses (Care Compare)

150 Tices LN
East Brunswick, NJ 08816-2015
Phone (732) 724-2588

210 Mounts Corner Dr
Freehold, NJ 07728-2547
Phone (732) 724-2596

525 Hwy 35
Red Bank, NJ 07701-5037
Phone (848) 216-0765

Merit-based Incentive Payment System (MIPS)

Final score
89.93 of 100Reported as group
Quality
95.96
Improvement activities
40
Cost
73.85

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
All Be Healthy LLC CurrentSince Jan 10, 2023 Accepting new patients
Hillsborough Radiology Centers, LLC Current Accepting new patients
Old Bridge Spine & Wellness Center,PA CurrentSince Jan 4, 2022 Accepting new patients
Emergency Medical Associates of New Jersey PA PastSince May 10, 2020 Accepting new patients

Locations

1455 Broad St
Ste 250
Bloomfield, NJ 07003
Phone (201) 817-6982

579A Cranbury Rd
East Brunswick, NJ 08816
Phone (732) 390-0030

150 Tices Ln
East Brunswick, NJ 08816
Phone (732) 254-5553

483 Cranbury Rd
East Brunswick, NJ 08816
Phone (732) 390-0030

2-22 Banta Pl
Fair Lawn, NJ 07410
Phone (201) 509-8600

210 Mounts Corner Dr
Freehold, NJ 07728
Phone (732) 333-6322

144 State Route 34
Matawan, NJ 07747
Phone (732) 316-5895

300 Perrine Rd
Ste 315
Old Bridge, NJ 08857
Phone (732) 264-8282

300 Perrine Rd
Ste 305
Old Bridge, NJ 08857
Phone (732) 316-5895

1311 Morris Ave
Union, NJ 07083
Phone (908) 686-8446

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1309824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767571200000",
    "number": "1962799544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1455 BROAD ST STE 250",
            "city": "BLOOMFIELD",
            "state": "NJ",
            "postal_code": "070033066",
            "telephone_number": "877-532-7837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2-22 BANTA PL",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074103058",
            "telephone_number": "201-380-6930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YURKOVIC",
        "first_name": "LAURA",
        "middle_name": "H.",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-05",
        "last_updated": "2026-01-05",
        "certification_date": "2026-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NJ",
            "license": "25MP00257100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAURA",
            "last_name": "MISTHAL",
            "middle_name": "H",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fair Lawn, NJ

Sources for this page

Verify at the official NPI Registry.