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YELENA S ROSHCHINA D.O NPI 1346476124


NPI Information

NPI: 1346476124
Provider Name: YELENA S ROSHCHINA, D.O
Classification: Psychiatry & Neurology - 2084N0402X
Entity Type: Individual

Specialization: Neurology with Special Qualifications in Child Neurology

Organization: HACKENSACK UNIVERSITY MEDICAL GROUP PC

PECOS Registration: Yes

Address:
30 PROSPECT AVE
HACKENSACK, NJ
ZIP 07601
Phone: (551) 996-3200
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Yelena S Roshchina, D.O is a neurology with special qualifications in child neurology psychiatry neurology in Hackensack, NJ with 17 years of experience. The provider is a Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence. Yelena S Roshchina, D.O NPI is 1346476124. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: NEW YORK COLLEGE OF OSTEO MEDICINE OF NEW YORK INSTITUTE OF TECHNOLOGY
Graduation Year:2007

The provider's business location address is:

30 PROSPECT AVE
HACKENSACK, NJ
ZIP 07601-915
Phone: (551) 996-3200
Fax: (201) 968-0163

The NPI 1346476124 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/7/2009 and was last updated on 12/4/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208000000XPediatrics129196NEW YORKNo
22084N0402XPsychiatry & NeurologyNeurology with Special Qualifications in Child Neurology249196NEW YORKNo
32084N0402XPsychiatry & NeurologyNeurology with Special Qualifications in Child Neurology25MB09731300NEW JERSEYYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11346476124MEDICAIDNEW JERSEY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.