YELENA POTYLITSINA


Address: 1270 Highway 35, Suite 1, Middletown, NJ 07748-2014
Phone: 7326711155

YELENA POTYLITSINA (NPI# 1568592632) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1568592632
Entity Type Individual
Full Name YELENA POTYLITSINA
Other Name YELENA KARABANOVA
Credential M.D.
Practice Address 1270 Highway 35
Suite 1
Middletown
NJ 07748-2014
Mailing Address Po Box 8000
Dept 596
Buffalo
NY 14267-0002
Practice Telephone 7326711155
Practice Fax Number 7326719630
Mailing Telephone 7326711697
Mailing Fax Number 7326152439
Enumeration Date 2007-03-06
Last Update Date 2012-02-14
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208000000X Pediatrics 25MA08017300 NJ Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
NJ 0139980 05

Office Location

Street Address 1270 HIGHWAY 35
SUITE 1
City MIDDLETOWN
State NJ
Zip Code 07748-2014

Providers in the same location

NPI Name Taxonomy Address Enumeration
1164425435 Joseph Clemente Internal Medicine 1270 Highway 35, Middletown, NJ 07748 2005-05-31
1841716321 Cardioep LLC Internal Medicine 1270 Highway 35, Middletown, NJ 07748-2014 2017-08-16
1295261568 Medical Health Center of Middletown, Inc Internal Medicine 1270 Highway 35, Middletown, NJ 07748 2017-05-05
1508234477 Janell C. Rosania Registered Nurse 1270 Highway 35, Middletown, NJ 07748-2014 2015-09-09
1639463730 Anthony James Morelli Internal Medicine 1270 Highway 35, Middletown, NJ 07748-2014 2011-06-06
1710282132 Colts Neck Spine & Joint Care LLC Physical Therapist 1270 Highway 35, Middletown, NJ 07748-2014 2011-01-15
1790910966 Delia Dobrescu Internal Medicine 1270 Highway 35, Middletown, NJ 07748-2014 2009-05-18
1144486523 Ajay S Shah Internal Medicine 1270 Highway 35, Middletown, NJ 07748-2014 2008-08-05
1780871764 Kimberly Physical Therapy Inc Physical Therapist 1270 Highway 35, Middletown, NJ 07748-2014 2007-10-03
1053465112 Paul Joseph Luparello Internal Medicine 1270 Highway 35, Middletown, NJ 07748-2014 2007-01-23
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1245872472 Daniella Marie Siragusa Pharmacist 1200 Nj 35, Middletown, NJ 07748 2019-10-09
1548801194 Victoria Coglianese Dietitian, Registered 146 Hillyer Circle, Middletown, Nj, Usa, Middletown, NJ 07748 2019-10-04
1396276184 Crp Regal Pointe, LLC Assisted Living Facility 1800 Nj Highway 35 South, Middletown, NJ 07748 2017-03-23
1780131284 Jocelyn Elizabeth Marrone Pharmacist 1447 State Highway 35, Middletown, NJ 07748 2016-09-01
1346796570 Michelle Caravella Dietitian, Registered 113 Lynch Rd, Middletown, NJ 07748 2016-08-28
1922553528 Jamie Manzo Physical Therapist 37 Kanes Ln, Middletown, NJ 07748 2016-08-24
1245697432 Middletown Oral Surgery Associates, P.C. Oral & Maxillofacial Surgery 21 New Monmouth Road, Middletown, NJ 07748 2016-01-20
1295171379 Taryn M Buffolino Counselor 41 Tall Tree Rd, Middletown, NJ 07748 2013-05-16
1477825925 Min Jin Kim Dentist 2 Apple Farm Road, Middletown, NJ 07748 2012-01-30
1295018562 Kavita Patel Pharmacist 271 Linden Avenue, North Middletown, NJ 07748 2011-09-23
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Taxonomy Information

Taxonomy Code 208000000X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics

Taxonomy Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio
- Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1821328162 Kenneth Mark Robbins Pediatrics 10 Yellow Birch Rd, Middletown, CT 06457-4921 2010-01-09
1104066653 James Y Cho Pediatrics 3 Manitto Pl, Middletown, NJ 07748-3707 2009-02-24
1982870077 Warren Gilman Pediatrics 7 Starhaven Ave, Middletown, NY 10940-4617 2008-05-07
1528187572 Dunning Road Pediatrics Pediatrics 390 Crystal Run Road Suite110, Middletown, NY 10941 2007-03-29
1932233293 David Hill Pediatrics 100 Crystal Run Road, Suite 107, Middletown, NY 10940 2007-03-16
1912047861 Middletown Community Health Center Inc Pediatrics 14 Grove Street, Middletown, NY 10940 2007-02-08
1780759050 Chitra Vaidy Pediatrics 200 Cleaver Farm Rd Ste 201, Nemours Dupont Pediatrics, Middletown, Middletown, DE 19709-1630 2006-11-22
1851482236 Gerard A. Kuhn Pediatrics Nemours Pediatrics Middletown, 200 Cleaver Farm Road Suite 201, Middletown, DE 19709-1630 2006-09-28
1801900741 Diana E Small Pediatrics 331 N Breiel Blvd, Middletown, OH 45042 2006-08-18
1992819833 James Michael Komer Pediatrics 331 N Breier Road, Middletown, OH 45042 2006-08-18
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Competitor

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City MIDDLETOWN
Zip Code 07748

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Dataset Information

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.

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