MEDICARE: DR. YANINA MESHKO MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208000000X	Pediatrics Physician	MA070219	NJ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	25MA07021900	OTHER	NJ	NJ STATE MEDICAL LICENSE

General Provider Information

NPI Number	:	1295783421
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. YANINA MESHKO MD

Provider Business Mailing Address
First Line	:	90 MILLBURN AVE
Second Line	:	SUITE 101
City	:	MILLBURN
State	:	NJ
Zip	:	07041-1933
Country	:	US
Telephone Number	:	973-378-7990
Fax Number	:	973-378-7991

Provider Business Practice Location Address
First Line	:	90 MILLBURN AVE
Second Line	:	SUITE 101
City	:	MILLBURN
State	:	NJ
Zip	:	07041-1933
Country	:	US
Telephone Number	:	973-378-7990
Fax Number	:	973-378-7991

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/04/2006
Last Update Date	:	02/12/2026

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