Provider Demographics
NPI:1508035486
Name:YELLIN, JOSHUA HARRY-NOVEY (MD)
Entity Type:Individual
Prefix:DR
First Name:JOSHUA
Middle Name:HARRY-NOVEY
Last Name:YELLIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1431 RIVERPLACE BLVD
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32207-9028
Mailing Address - Country:US
Mailing Address - Phone:904-953-2000
Mailing Address - Fax:
Practice Address - Street 1:4204 TEUTON ST
Practice Address - Street 2:
Practice Address - City:METAIRIE
Practice Address - State:LA
Practice Address - Zip Code:70006-4164
Practice Address - Country:US
Practice Address - Phone:504-883-8111
Practice Address - Fax:504-883-3555
Is Sole Proprietor?:No
Enumeration Date:2008-02-26
Last Update Date:2017-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2384582085R0202X
FLME1032772085R0202X
LA2001572085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1076741Medicaid
LA1076741Medicaid