Look up the most recent NPI and PECOS records

Yeni Milagros Then-Yaegel

Social Worker

Behavioral Health & Social Service Providers

93 W Palisade Ave, Englewood, NJ 07631-2611

PECOS Enrollment

Based on the most recent information from CMS, provider Yeni Milagros Then-Yaegel does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 26 days ago.

Profile Details

Provider ID
1508938754
Provider Type
Individual
Full Name
Then-Yaegel, Yeni Milagros
Title
Mrs.
Credential
LCSW

Gender
Female
Sole Proprietor
No
Enumeration Date
11/14/2006
Last Updated
11/7/2014

Contact Information

Practice Location

93 W Palisade Ave, Englewood, NJ 07631-2611

(201) 567-0500

Mailing Location

93 W Palisade Ave, Englewood, NJ 07631-2611

(201) 567-0500

Provider Taxonomies

Code	Description	License
Code 1041C0700X Primary	Description Social Worker Behavioral Health & Social Service Providers	License 44SC05590400 New Jersey

Provider Identifiers

ID	Description	Issuer
ID 0419460	Description Medicaid	Issuer Unlisted New Jersey

Yeni Milagros Then-Yaegel

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

Elberger, Anna

Keschner, Rafaella

Greif, Judith Brown

Erlich Penchuk, Sara

Niederland, James

Owusu, Anna

Grigorian, Nyiri

Ulloa De La Cruz, Raphy Oniel

Polak-Dean, Lisa Patrice

Weisman, Michele Greene