Healthcare Provider Details

I. General information

NPI: 1114433786
Provider Name (Legal Business Name): YULIYA TSIMRING DO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/19/2017
Last Update Date: 02/19/2026
Certification Date: 02/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1466 ROUTE 88 STE E
BRICK NJ
08724-2341
US

IV. Provider business mailing address

1466 ROUTE 88 STE E
BRICK NJ
08724-2341
US

V. Phone/Fax

Practice location:
  • Phone: 732-784-8840
  • Fax:
Mailing address:
  • Phone: 732-784-8840
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number25MB10569500
License Number StateNJ
# 2
Primary TaxonomyY
Taxonomy Code204D00000X
TaxonomyNeuromusculoskeletal Medicine & OMM Physician
License Number25MB10569500
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: