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Physician Compare National (NPI:1508035486)

HEALTHCARE PROVIDER: JOSHUA HARRY-NOVEY YELLIN MD

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

Individual Professional Information

NPI 1508035486
Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID 0446313746
Unique individual clinician ID assigned by PECOS
Professional Enrollment ID I20090930000203
Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name YELLIN
Individual professional last name
Provider First Name JOSHUA
Individual professional first name
Provider Gender M
The provider's gender if the provider is a person.

Medical School Information

Medical School Name TULANE UNIVERSITY SCHOOL OF MEDICINE
Individual professional's medical school
Graduation Year 2003
Individual professional's medical school graduation year
Primary Specialty DIAGNOSTIC RADIOLOGY
Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information

Organization Legal Name QMG, LLC
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 2961590435
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 7
Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address 9050 PINES BLVD
Group Practice or individual's line 1 address
Line 2 Street Address SUITE 170
Group Practice or individual's line 2 address
City PEMBROKE PINES
Group Practice or individual's city
State FL
Group Practice or individual's state
Zip Code 330246400
Group Practice or individual's zip code (9 digits when available)
Phone Number 9544317627
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 190002
Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1 LAFAYETTE GENERAL MEDICAL CENTER
Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2 190046
Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2 TOURO INFIRMARY
Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3 190006
Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3 UNIVERSITY HOSPITAL & CLINICS
Legal business name of hospital where individual professional provides service 3
Hospital Affiliation CCN 4 190045
Medicare CCN of hospital where individual professional provides service 4
Hospital Affiliation LBN 4 ST TAMMANY PARISH HOSPITAL
Legal business name of hospital where individual professional provides service 4
Hospital Affiliation CCN 5 190044
Medicare CCN of hospital where individual professional provides service 5
Hospital Affiliation LBN 5 ACADIA GENERAL HOSPITAL
Legal business name of hospital where individual professional provides service 5
Professional Accepts Medicare Assignment Y

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