Individual provider Active NPI

Trudy A Yavorek, M.D.

  • Pediatrics Physician
  • West Point, NY
National Provider Identifier
1033185319
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
MD-054439-L Issued in PA
Practice address
900 Washington Rd
Kach - Attn CHC
West Point, NY 10996-1109
Phone
(845) 938-3003
Fax
(845) 938-5777
NPI assigned
Feb 27, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X MD-054439-L PA Primary

Addresses

Primary practice location

900 Washington Rd
Kach - Attn CHC
West Point, NY 10996-1109

Mailing address

21 Laurel LN
Highland Falls, NY 10928-1509
Phone (845) 938-3003

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141216000314 NY Order and Referring Only - Pediatric MedicinePractitioner - Pediatric Medicine 9335462746

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD-054439-LPAMDPediatrics Physician

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1140998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1033185319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 LAUREL LN",
            "city": "HIGHLAND FALLS",
            "state": "NY",
            "postal_code": "109281509",
            "telephone_number": "845-938-3003",
            "fax_number": "845-938-5777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 WASHINGTON RD",
            "address_2": "KACH - ATTN CHC",
            "city": "WEST POINT",
            "state": "NY",
            "postal_code": "109961109",
            "telephone_number": "845-938-3003",
            "fax_number": "845-938-5777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YAVOREK",
        "first_name": "TRUDY",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-27",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PA",
            "license": "MD-054439-L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Point, NY

Sources for this page

Verify at the official NPI Registry.