Individual provider Active NPI

Lisa B Yarnoff, MD

  • Pediatrics Physician
  • Lansdale, PA
National Provider Identifier
1972502086
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
MD049925L Issued in PA
Practice address
1240 S Broad St Ste 130
Lansdale, PA 19446-5395
Phone
(215) 361-5040
Fax
(215) 393-5441
NPI assigned
Jul 20, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X MD049925L PA Primary

Addresses

Primary practice location

1240 S Broad St Ste 130
Lansdale, PA 19446-5395

Mailing address

1240 S Broad St Ste 130
Lansdale, PA 19446-5395
Phone (215) 361-5040

Other practice location 1

1013 S Broad St
Lansdale, PA 19446-5338
Phone (215) 361-5040

Other identifiers 1

IdentifierTypeStateIssuer
0014169560004MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NJ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20050128000007 PA Practitioner - Pediatric Medicine 3678523602 Reassigns benefits to 1 organization
I20241015003295 NJ Practitioner - Pediatric Medicine 3678523602 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Advocare , LLC CurrentSince Nov 6, 2019 Accepting new patients
Advocare, LLC Pediatrics CurrentSince Nov 6, 2019 Accepting new patients
Advocare, LLC Pediatrics Past Accepting new patients
Lansdale Pediatric and Adolescent Medical Associates, LLC Pediatrics Past Accepting new patients

Locations

132 Grove St
Ste A
Haddonfield, NJ 08033
Phone (856) 354-2211

401 Route 73 N
Ste 320
Marlton, NJ 08053
Phone (609) 471-1033

1100 Horizon Cir
Ste 101
Chalfont, PA 18914
Phone (215) 394-0400

Interoperability endpoints

  • Direct secure messaging: lisa.yarnoff@advocaredoctors.eclinicaldirectplus.com

Organizations & group practices 4

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": "1121817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1972502086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1240 S BROAD ST STE 130",
            "city": "LANSDALE",
            "state": "PA",
            "postal_code": "194465395",
            "telephone_number": "215-361-5040",
            "fax_number": "215-393-5441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1240 S BROAD ST STE 130",
            "city": "LANSDALE",
            "state": "PA",
            "postal_code": "194465395",
            "telephone_number": "215-361-5040",
            "fax_number": "215-393-5441"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1013 S Broad St",
            "address_purpose": "LOCATION",
            "city": "Lansdale",
            "state": "PA",
            "postal_code": "194465338",
            "country_code": "US",
            "telephone_number": "215-361-5040",
            "fax_number": "215-393-5441",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YARNOFF",
        "first_name": "LISA",
        "middle_name": "B",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-20",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PA",
            "license": "MD049925L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0014169560004",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lansdale, PA

Sources for this page

Verify at the official NPI Registry.