Provider Demographics
NPI:1114433786
Name:TSIMRING, YULIYA (DO)
Entity Type:Individual
Prefix:DR
First Name:YULIYA
Middle Name:
Last Name:TSIMRING
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:529 HWY 35
Mailing Address - Street 2:
Mailing Address - City:RED BANK
Mailing Address - State:NJ
Mailing Address - Zip Code:07701-5037
Mailing Address - Country:US
Mailing Address - Phone:732-741-9800
Mailing Address - Fax:732-758-6367
Practice Address - Street 1:529 HWY 35
Practice Address - Street 2:
Practice Address - City:RED BANK
Practice Address - State:NJ
Practice Address - Zip Code:07701-5037
Practice Address - Country:US
Practice Address - Phone:732-741-9800
Practice Address - Fax:732-758-6367
Is Sole Proprietor?:No
Enumeration Date:2017-12-19
Last Update Date:2023-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MB10569500208000000X, 204D00000X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes204D00000XAllopathic & Osteopathic PhysiciansNeuromusculoskeletal Medicine & OMM
No208000000XAllopathic & Osteopathic PhysiciansPediatrics
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program