Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Yelena Rafaelov

Individual provider Family Nurse Practitioner · NPI 1891045688

Yelena Rafaelov is a Nurse Practitioner in Lakewood, New Jersey. Qualified in 2011, 15 years ago. Practices with Mid Atlantic Geriatric Association, a 2-clinician group and accepts Medicare assignment. Licensed in New Jersey.

Years since qualifying
15
Licensed in
NJ
In the registry since
2012
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Practice location Address checks out

105 Sarah Ct
Lakewood, NJ 08701
Phone: (732) 995-9653
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 26NJ00350000 (NJ)

Record details

NPI number1891045688
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 19, 2012
Last updated in NPPESSeptember 19, 2012

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Mid Atlantic Geriatric Association — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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