Individual provider Active NPI

Yudelka Garcia Ivory, N.P.

  • Family Nurse Practitioner
  • Ithaca, NY
National Provider Identifier
1144661570
Registry record updated Jan 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
338585 Issued in NY
Practice address
110 Ho PLZ
Ithaca, NY 14853-3102
Phone
(607) 255-5155
NPI assigned
Jul 15, 2013
Last updated
Jan 18, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 338585 NY Primary
Medical-Surgical Registered Nurse 163WM0705X 657878 NY

Addresses

Primary practice location

110 Ho PLZ
Ithaca, NY 14853-3102

Mailing address

110 Ho PLZ
Ithaca, NY 14853-3102
Phone (607) 255-5155

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
I20140714002372 NY Practitioner - Nurse Practitioner 2163647850 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Inpresent Psychiatry PCGroup PAC ID 4981081601, 14 clinicians

Practice addresses (Care Compare)

442 5TH Ave
Suite 1983
New York, NY 10018-2794
Phone (212) 564-0480

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
657878NYMDMedical-Surgical Registered Nurse
338585NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Montefiore Medical Center CurrentSince Apr 10, 2014 Accepting new patients
Montefiore Medical Center CurrentSince Apr 10, 2014 Accepting new patients
Trustees of Columbia University in the City of New York CurrentSince Sep 6, 2016 Accepting new patients
Mount Sinai School of Medicine CurrentSince Nov 1, 2020 Accepting new patients
Trustees of Columbia University in the City of New York CurrentSince Sep 6, 2016 Accepting new patients
Rappore Medicine PC CurrentSince Aug 26, 2025 Accepting new patients
Inpresent Psychiatry PC CurrentSince Aug 26, 2025 Accepting new patients
Cornell University PastSince Jan 21, 2024 Accepting new patients
Mount Sinai School of Medicine Past Accepting new patients

Locations

111 E 210th St
Bronx, NY 10467

1155 Northern Blvd
Manhasset, NY 11030
Phone (516) 407-4000

161 Fort Washington Ave
New York, NY 10032
Phone (212) 305-8559

442 5th Ave
#1983
New York, NY 10018
Phone (212) 564-0480

516 W 168th St
Fl 1
New York, NY 10032
Phone (212) 326-5705

589 3rd Ave
New York, NY 10016
Phone (212) 321-7002

622 W 168th St
New York, NY 10032
Phone (212) 305-4931

Interoperability endpoints

  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1373846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705536000000",
    "number": "1144661570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 HO PLZ",
            "city": "ITHACA",
            "state": "NY",
            "postal_code": "148533102",
            "telephone_number": "607-255-5155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 HO PLZ",
            "city": "ITHACA",
            "state": "NY",
            "postal_code": "148533102",
            "telephone_number": "607-255-5155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IVORY",
        "first_name": "YUDELKA",
        "middle_name": "GARCIA",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-15",
        "last_updated": "2024-01-18",
        "certification_date": "2024-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "338585",
            "primary": true
        },
        {
            "code": "163WM0705X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Medical-Surgical",
            "state": "NY",
            "license": "657878",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ithaca, NY

Sources for this page

Verify at the official NPI Registry.