Individual provider Active NPI

Naomi Yulfo

  • Specialist
  • Fresh Meadows, NY
National Provider Identifier
1033630181
Registry record updated Jun 29, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
1104663171 Issued in NY
Practice address
6725 188TH St
Fresh Meadows, NY 11365-3767
Phone
(718) 454-6460
NPI assigned
Jun 29, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 29, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 1104663171 NY Primary

Addresses

Primary practice location

6725 188TH St
Fresh Meadows, NY 11365-3767

Mailing address

8335 Lefferts Blvd Apt 4C
Kew Gardens, NY 11415-2595

Other names 1

  • Ms. Naomi Yulfo Professional name

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

LicenseStateTypeSpecialty
1104663171NYMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Little Meadows Early Childhood Center Past Accepting new patients
Karen Rothschild OT, LLC Single Specialty 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": "1498694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1498694400000",
    "number": "1033630181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8335 LEFFERTS BLVD APT 4C",
            "city": "KEW GARDENS",
            "state": "NY",
            "postal_code": "114152595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6725 188TH ST",
            "city": "FRESH MEADOWS",
            "state": "NY",
            "postal_code": "113653767",
            "telephone_number": "718-454-6460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YULFO",
        "first_name": "NAOMI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-06-29",
        "last_updated": "2017-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": "1104663171",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NAOMI",
            "last_name": "YULFO",
            "prefix": "MS.",
            "credential": "MA",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Fresh Meadows, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.