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DR. MARYAM M. YASSA M.D.
NPI 1184042277
Student in an Organized Health Care Education/Training Program in Plainsboro, NJ

Active since April 04, 2014PECOS Enrolled
1 PLAINSBORO RD DEPT OF, PLAINSBORO, NJ 08536(609) 853-7000 Get Directions Write a Review

NPPES record last updated: July 24, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Maryam M. Yassa M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MARYAM M. YASSA M.D. (NPI 1184042277) is an individual student in an organized health care education/training program in Plainsboro, New Jersey and active in the NPI registry since April 2014. She is enrolled in Medicare PECOS and is a graduate of Other (2004).

NPPES Registry Identity

NPI1184042277
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameDR. MARYAM M. YASSACredential: M.D.
Location Address1 PLAINSBORO RD DEPT OFPlainsboro, NJ 08536-1913
Mailing Address1 Plainsboro Rd Dept OfPlainsboro, NJ 08536-1913 · (609) 853-7000
Phone(609) 853-7000
Sole ProprietorYes
Medical School CMSOtherGraduated 2004
Enumeration DateApril 4, 2014
Last NPPES UpdateJuly 24, 2025
NPPES CertifiedJuly 24, 2025
✔ NPI 1184042277 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Also ListedPreventive Medicine · Preventive Medicine/Occupational Environmental MedicineTaxonomy 2083P0500X · License 25MA11625300 (NJ)
1 PLAINSBORO RD DEPT OF, Plainsboro, NJ 08536
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Maryam M. Yassa M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6305347717
PECOS Enrollment IDI20250828001141
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Maryam Yassa's NPI number?

The NPI number for Maryam Yassa is 1184042277. It was assigned to this individual provider in the NPPES registry on April 4, 2014.

Where is Maryam Yassa located?

Maryam Yassa practices at 1 Plainsboro Rd Dept Of, Plainsboro, NJ 08536. The listed phone number is (609) 853-7000.

What is Maryam Yassa's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Maryam Yassa enrolled in Medicare?

Yes. Maryam Yassa is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Maryam Yassa was last updated on July 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.