Provider Demographics
NPI:1194602508
Name:CUMBERBATCH, YASMINE SHEVONNE
Entity type:Individual
Prefix:
First Name:YASMINE
Middle Name:SHEVONNE
Last Name:CUMBERBATCH
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1395 QUEEN ANNE RD STE YASMINE
Mailing Address - Street 2:
Mailing Address - City:TEANECK
Mailing Address - State:NJ
Mailing Address - Zip Code:07666-3540
Mailing Address - Country:US
Mailing Address - Phone:201-993-5374
Mailing Address - Fax:
Practice Address - Street 1:1395 QUEEN ANNE RD STE YASMINE
Practice Address - Street 2:
Practice Address - City:TEANECK
Practice Address - State:NJ
Practice Address - Zip Code:07666-3540
Practice Address - Country:US
Practice Address - Phone:551-574-8342
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-18
Last Update Date:2025-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier