Active NPI
Yezid Moudachirou
- Driver
- Brooklyn, NY
National Provider Identifier
1003764549
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Driver
- License
- 472920251
- Practice address
- 473 Bergen St Apt 1
Brooklyn, NY 11217-4041 - Phone
- (347) 796-2577
- Fax
- (347) 778-5933
- NPI assigned
- Mar 19, 2026
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Driver | 172A00000X | 472920251 | NY | Primary |
Addresses
Primary practice location
473 Bergen St Apt 1
Brooklyn, NY 11217-4041
Mailing address
1433 E 104TH St
Brooklyn, NY 11236-4515
Phone (347) 796-2577
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 472920251 | NY | MD | Driver |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Calypso Car Service Corporation | Driver | Past | Accepting new patients |
| Calypso Car Service Corporation | Driver | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1773878400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1773878400000",
"number": "1003764549",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1433 E 104TH ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112364515",
"telephone_number": "347-796-2577",
"fax_number": "347-778-5933"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "473 BERGEN ST APT 1",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112174041",
"telephone_number": "347-796-2577",
"fax_number": "347-778-5933"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOUDACHIROU",
"first_name": "YEZID",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2026-03-19",
"last_updated": "2026-03-19",
"certification_date": "2026-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "172A00000X",
"taxonomy_group": "",
"desc": "Driver",
"state": "NY",
"license": "472920251",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.