DIMA YESHOU (NPI# 1124287412) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124287412 |
| Entity Type | Individual |
| Full Name | DIMA YESHOU |
| Credential | MD |
| Practice Address |
12-04 Saddle River Rd Fair Lawn NJ 07410-5811 |
| Mailing Address |
560 Clinton Rd Paramus NJ 07652-4738 |
| Practice Telephone | 2017738710 |
| Practice Fax Number | 2017738711 |
| Mailing Telephone | 2019678425 |
| Mailing Fax Number | 2012634665 |
| Enumeration Date | 2008-06-03 |
| Last Update Date | 2015-10-05 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RE0101X |
Internal Medicine Specialization: Endocrinology, Diabetes & Metabolism |
25MA08384100 | NJ | Allopathic & Osteopathic Physicians |
| N | 207RE0101X |
Internal Medicine Specialization: Endocrinology, Diabetes & Metabolism |
241486 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 0190861 | 05 |
| Street Address |
12-04 SADDLE RIVER RD |
| City | FAIR LAWN |
| State | NJ |
| Zip Code | 07410-5811 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023268976 | Bergen Endocrinology, PC | Internal Medicine | 12-04 Saddle River Rd, Fair Lawn, NJ 07410-5811 | 2008-09-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669093316 | Sheila Robinson-kiss LLC | Counselor | 0-178 Tunbridge Road, Fair Lawn, NJ 07410 | 2020-05-05 |
| 1750902813 | Pine Group LLC | Point of Service | 0-39 Pine Ave, Fair Lawn, NJ 07410 | 2020-04-29 |
| 1073133153 | Maria Jidriska Myers | Nurse Practitioner | 23-00 Nj-208, Fair Lawn, NJ 07410 | 2020-04-20 |
| 1508350869 | Jill Marie Deperi | Counselor | 22-08 Route 208 South, Fair Lawn, NJ 07410 | 2018-06-20 |
| 1952895419 | Laurel Olson | Counselor | Care Plus Nj Children and Family Services, 17-07 Romaine Street, Fair Lawn, NJ 07410 | 2018-06-19 |
| 1851896583 | Janelle Frazier | Social Worker | Care Plus New Jersey, 17-07 Romaine St, Fair Lawn, NJ 07410 | 2018-03-26 |
| 1457876260 | Daniella Suric | Behavioral Analyst | 2-08 Morlot Avenue, Fair Lawn, NJ 07410 | 2017-08-14 |
| 1912453549 | Marcia Gurfield | Social Worker | 33-03 Ryan Road, Fair Lawn, NJ 07410 | 2016-09-01 |
| 1417330721 | The Arc of Bergen and Passaic Counties, Inc | Day Training, Developmentally Disabled Services | 17-03a Broadway, Fair Lawn, NJ 07410 | 2015-07-06 |
| 1275914228 | Julius Iratagotia | Occupational Therapist | 0-53 26th St, Fair Lawn, NJ 07410 | 2015-06-16 |
| Find all providers in zip 07410 | ||||
| Taxonomy Code | 207RE0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Endocrinology, Diabetes & Metabolism |
| An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154715415 | Erica Weitzner | Internal Medicine | 19-21 Fair Lawn Ave, Fair Lawn, NJ 07410-2331 | 2015-03-25 |
| 1013160217 | North Jersey Diabetes & Endocrinology, P.a. | Internal Medicine | 24-07 Broadway, Fair Lawn, NJ 07410-3053 | 2008-10-31 |
| 1023268976 | Bergen Endocrinology, PC | Internal Medicine | 12-04 Saddle River Rd, Fair Lawn, NJ 07410-5811 | 2008-09-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295373645 | Freehold Rheumatology and Endocrinology LLC | Internal Medicine | 535 Iron Bridge Rd Ste 11, Freehold, NJ 07728-5301 | 2019-12-17 |
| 1396302014 | Advocare, LLC | Internal Medicine | 256 Bunn Dr Ste D, Princeton, NJ 08540-2859 | 2019-05-29 |
| 1952871667 | Garger Center for Endocrinology PC | Internal Medicine | 10 Sycamore Ave Ste 1, Ho Ho Kus, NJ 07423-1588 | 2018-11-26 |
| 1962902189 | Mercer Endocrine Care LLC | Internal Medicine | 2139 Route 33 Ste A, Hamilton, NJ 08690-1751 | 2018-02-14 |
| 1144740739 | Clarion Technology LLC | Internal Medicine | 5000 Atrium Way Ste 3, Mount Laurel, NJ 08054-3915 | 2017-06-23 |
| 1295115277 | Mabel Mayorga | Internal Medicine | 401 Haddon Ave Fl 2, Camden, NJ 08103 | 2015-06-04 |
| 1265832463 | Elkin A Nunez Md, LLC | Internal Medicine | 213 Winding Hill Dr, Hackettstown, NJ 07840-5665 | 2014-08-26 |
| 1962812040 | Reem Taha | Internal Medicine | 2 Lincoln Hwy Ste 502, Edison, NJ 08820-3961 | 2014-04-29 |
| 1043637192 | Fadwa Sumrein | Internal Medicine | 2 Brighton Rd Ste 400, Clifton, NJ 07012 | 2014-03-26 |
| 1811335433 | Taher Modarressi | Internal Medicine | 9100 Wescott Dr Ste 101, Flemington, NJ 08822 | 2013-06-05 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.