Active NPI
Yanet Martinez Mederos, MD
- Family Medicine Physician
- Utica, NY
National Provider Identifier
1013640085
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 346351
- Practice address
- 417 Trenton Ave
Utica, NY 13502-1613 - Phone
- (315) 797-5810
- Fax
- (315) 732-7030
- NPI assigned
- Jul 6, 2022
- Last updated
- Sep 24, 2026
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 346351 | NY | Primary |
Addresses
Primary practice location
417 Trenton Ave
Utica, NY 13502-1613
Mailing address
111 Hospital Dr
Utica, NY 13502-2517
Phone (315) 624-6100
Other practice location 1
4401 Middle Settlement Rd
New Hartford, NY 13413-5331
Phone (315) 733-1148
Other practice location 2
8411 Seneca Tpke
New Hartford, NY 13413-4912
Phone (315) 624-8500
Other practice location 3
3946 Oneida St
New Hartford, NY 13413-9702
Phone (315) 624-8300
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
- Credentials
- Doctor of Medicine
Interoperability endpoints
- ymartinezmederos41046@mvhealthsystem.direct-ci.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1657065600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1790208000000",
"number": "1013640085",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 HOSPITAL DR",
"city": "UTICA",
"state": "NY",
"postal_code": "135022517",
"telephone_number": "315-624-6100",
"fax_number": "315-624-6744"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "417 TRENTON AVE",
"city": "UTICA",
"state": "NY",
"postal_code": "135021613",
"telephone_number": "315-797-5810",
"fax_number": "315-732-7030"
}
],
"practiceLocations": [
{
"address_1": "4401 Middle Settlement Rd",
"address_purpose": "LOCATION",
"city": "New Hartford",
"state": "NY",
"postal_code": "134135331",
"country_code": "US",
"telephone_number": "315-733-1148",
"fax_number": "315-266-9129",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "8411 Seneca Tpke",
"address_purpose": "LOCATION",
"city": "New Hartford",
"state": "NY",
"postal_code": "134134912",
"country_code": "US",
"telephone_number": "315-624-8500",
"fax_number": "315-624-8515",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3946 Oneida St",
"address_purpose": "LOCATION",
"city": "New Hartford",
"state": "NY",
"postal_code": "134139702",
"country_code": "US",
"telephone_number": "315-624-8300",
"fax_number": "315-624-8310",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MARTINEZ MEDEROS",
"first_name": "YANET",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-07-06",
"last_updated": "2026-09-24",
"certification_date": "2026-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NY",
"license": "346351",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Utica, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 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.