Individual provider Active NPI

Priscilla Janice Villavicencio

  • Family Nurse Practitioner
  • Yonkers, NY
National Provider Identifier
1164287439
Registry record updated Jan 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
353609 Issued in NY
Practice address
657 Yonkers Ave Ste 1
Yonkers, NY 10704-2669
Phone
(914) 340-3452
NPI assigned
Feb 15, 2024
Last updated
Jan 14, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2025

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 353609 NY Primary
Dermatology Physician 207N00000X 353609 NY

Addresses

Primary practice location

657 Yonkers Ave Ste 1
Yonkers, NY 10704-2669

Mailing address

657 Yonkers Ave Ste 1
Yonkers, NY 10704-2669
Phone (914) 340-3452

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
I20240820001892 NY Practitioner - Nurse Practitioner 8426596552 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Schweiger Dermatology PLLCGroup PAC ID 5991947160, 254 clinicians

Practice addresses (Care Compare)

35 E Grassy Sprain Rd
Suite 507
Yonkers, NY 10710-4610
Phone (212) 283-3000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
353609NYMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Schweiger Dermatology PLLC Dermatology CurrentSince Aug 1, 2024 Accepting new patients
Citywide Dermatology, PLLC Dermatology Past Accepting new patients

Locations

385 Merrick Rd
Amityville, NY 11701

33 E 33rd St
Fl 12
New York, NY 10016
Phone (631) 338-5184

3010 Westchester Ave
Ste 207
Purchase, NY 10577
Phone (914) 221-6440

35 E Grassy Sprain Rd
Yonkers, NY 10710
Phone (914) 337-5252

35 E Grassy Sprain Rd
Ste 507
Yonkers, NY 10710
Phone (914) 779-5606

657 Yonkers Ave
Ste 1
Yonkers, NY 10704
Phone (914) 340-3452

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

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, 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": "1707955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736812800000",
    "number": "1164287439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "657 YONKERS AVE STE 1",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107042669",
            "telephone_number": "914-340-3452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "657 YONKERS AVE STE 1",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107042669",
            "telephone_number": "914-340-3452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VILLAVICENCIO",
        "first_name": "PRISCILLA",
        "middle_name": "JANICE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-15",
        "last_updated": "2025-01-14",
        "certification_date": "2025-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "353609",
            "primary": true
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NY",
            "license": "353609",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yonkers, NY

Sources for this page

Verify at the official NPI Registry.