Physician Compare National (NPI:1063633402)

HEALTHCARE PROVIDER: PRIYANKA SINGH YADAV D.O.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1063633402
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	5597816538
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20090702000122
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	YADAV
	Individual professional last name
Provider First Name	PRIYANKA
	Individual professional first name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	NEW YORK COLLEGE OF OSTEO MEDICINE OF NEW YORK INSTITUTE OF TECHNOLOGY
	Individual professional's medical school
Graduation Year	2003
	Individual professional's medical school graduation year
Primary Specialty	SLEEP MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	PEDIATRIC MEDICINE
	First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	PEDIATRIC MEDICINE
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Organization Legal Name	ROBERT WOOD JOHNSON PHYSICIAN ENTERPRISE
	Legal name of the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Group Practice PAC ID	5597917633
	Unique Group Practice ID assigned by PECOS to the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Number of Group Practice members	162
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	331 ROUTE 206
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE D
	Group Practice or individual's line 2 address
City	HILLSBOROUGH
	Group Practice or individual's city
State	NJ
	Group Practice or individual's state
Zip Code	088444781
	Group Practice or individual's zip code (9 digits when available)
Phone Number	9082622470
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	310048
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL - SOMERSET
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	Y