Organization Active NPI

Inna Yaskin DO PC

  • Geriatric Medicine (Internal Medicine) Physician
  • Freehold, NJ
National Provider Identifier
1982893996
Registry record updated Oct 16, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
Legal business name
INNA YASKIN DO PC
Practice address
509 Stillwells Corner Rd
Ste E5
Freehold, NJ 07728-2965
Phone
(732) 409-6440
Fax
(732) 409-6466
NPI assigned
Oct 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2007

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

Authorized official

Name
Inna Yaskin, DO
Title
Owner
Phone
(732) 409-6440

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0300X Primary

Addresses

Primary practice location

509 Stillwells Corner Rd
Ste E5
Freehold, NJ 07728-2965

Mailing address

509 Stillwells Corner Rd
Ste E5
Freehold, NJ 07728-2965
Phone (732) 409-6440

National Provider Directory

National Provider Directory

Locations

2490 Hospital Dr
Ste 20
Mountain View, CA 94040

349 S Monroe St
Ste 10
San Jose, CA 95128
Phone (408) 806-1549

318 Professional View Dr
Fl 2
Freehold, NJ 07728
Phone (732) 409-6440

NPI Registry JSON

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

{
    "created_epoch": "1192492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192492800000",
    "number": "1982893996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "509 STILLWELLS CORNER RD",
            "address_2": "STE E5",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077282965",
            "telephone_number": "732-409-6440",
            "fax_number": "732-409-6466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 STILLWELLS CORNER RD",
            "address_2": "STE E5",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077282965",
            "telephone_number": "732-409-6440",
            "fax_number": "732-409-6466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNA YASKIN DO PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-16",
        "last_updated": "2007-10-16",
        "status": "A",
        "authorized_official_last_name": "YASKIN",
        "authorized_official_first_name": "INNA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-409-6440",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Freehold, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.