Individual provider Active NPI

Yanira Mercedes Sanchez, PHYSICIAN ASSISTANT

  • Physician Assistant
  • Jackson Heights, NY
National Provider Identifier
1083071948
Registry record updated Jul 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
019435-1 Issued in NY
Practice address
Nyc Medical Care
79-16 37TH Avenue
Jackson Heights, NY 11372
Phone
(917) 396-4436
Fax
(917) 396-4046
NPI assigned
Jan 24, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 019435 NY
Physician Assistant 363A00000X 019435-1 NY Primary

Addresses

Primary practice location

Nyc Medical Care
79-16 37TH Avenue
Jackson Heights, NY 11372

Mailing address

Nyc Medical Care
79-16 37TH Avenue
Jackson Heights, NY 11372
Phone (917) 396-4436

Other practice location 1

Broadway Medical
4405 Broadway
New York, NY 10040
Phone (212) 740-2020

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200428000265 NY Practitioner - Physician Assistant 0446680755 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
019435-1NYMDPhysician Assistant

Organizations & group practices 1

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": "1453593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561939200000",
    "number": "1083071948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "NYC MEDICAL CARE",
            "address_2": "79-16 37TH AVENUE",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "11372",
            "telephone_number": "917-396-4436",
            "fax_number": "917-396-4046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "NYC MEDICAL CARE",
            "address_2": "79-16 37TH AVENUE",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "11372",
            "telephone_number": "917-396-4436",
            "fax_number": "917-396-4046"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Broadway Medical",
            "address_2": "4405 Broadway",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "10040",
            "country_code": "US",
            "telephone_number": "212-740-2020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANCHEZ",
        "first_name": "YANIRA",
        "middle_name": "MERCEDES",
        "name_prefix": "Ms.",
        "credential": "PHYSICIAN ASSISTANT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-24",
        "last_updated": "2019-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "019435",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "019435-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson Heights, NY

Sources for this page

Verify at the official NPI Registry.