David Yakobashvili,md,llc | |
201 Pleasant Hill Rd Chester NJ 07930-2141 | |
(917) 596-4004 | |
Not Available |
Full Name | David Yakobashvili,md,llc |
---|---|
Speciality | Internal Medicine |
Location | 201 Pleasant Hill Rd, Chester, New Jersey |
Authorized Official Name and Position | David Yakobashvili (OWNER) |
Authorized Official Contact | 9175964004 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
David Yakobashvili,md,llc 43 Westmount Dr Livingston NJ 07039-4230 Ph: (917) 596-4004 | David Yakobashvili,md,llc 201 Pleasant Hill Rd Chester NJ 07930-2141 Ph: (917) 596-4004 |
NPI Number | 1306097548 |
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Provider Enumeration Date | 10/07/2008 |
Last Update Date | 06/25/2021 |
Medicare PECOS PAC ID | 1052460854 |
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Medicare Enrollment ID | O20090713000178 |
Identifier | Type | State | Issuer |
---|---|---|---|
1306097548 | NPI | - | NPPES |
7625201 | Medicaid | NJ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | John P Neibert |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1467493569 PECOS PAC ID: 4082699434 Enrollment ID: I20040621001369 |
Provider Name | Nirmala Selvam |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1356534028 PECOS PAC ID: 5597707190 Enrollment ID: I20050524000931 |
Provider Name | Rajesh Shukla |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1184626772 PECOS PAC ID: 9931174588 Enrollment ID: I20080527000296 |
Provider Name | David Yakobashvili |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1265420137 PECOS PAC ID: 1153391677 Enrollment ID: I20090713000202 |
Provider Name | Shaun J Mcdonough |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1558747154 PECOS PAC ID: 5395052054 Enrollment ID: I20150914002360 |
Provider Name | Sheel A Chokshi |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1689100794 PECOS PAC ID: 2365710381 Enrollment ID: I20200929003035 |
Provider Name | Kristie Weimmer |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1134721533 PECOS PAC ID: 4284045287 Enrollment ID: I20201124000117 |
Provider Name | Mina Effat Fransawy Alkomos |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1265995286 PECOS PAC ID: 7214319268 Enrollment ID: I20220808001233 |
Provider Name | Mahidhar Mahasamudram Reddy |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1114451630 PECOS PAC ID: 9739544354 Enrollment ID: I20230503001278 |
Provider Name | Young Ju Lee |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1376037457 PECOS PAC ID: 7416207444 Enrollment ID: I20230602001610 |
Provider Name | Phillip Lim |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1861011280 PECOS PAC ID: 9638537293 Enrollment ID: I20230614002542 |
Provider Name | Nader Magdy Mekheal |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1861020760 PECOS PAC ID: 6204294796 Enrollment ID: I20230614004248 |
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