Active NPI
Priscilla Janice Villavicencio
- Family Nurse Practitioner
- Yonkers, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 353609
- Practice address
- 657 Yonkers Ave Ste 1
Yonkers, NY 10704-2669 - Phone
- (914) 340-3452
- NPI assigned
- Feb 15, 2024
- Last updated
- Jan 14, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 353609 | NY | MD | Dermatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Schweiger Dermatology PLLC | Dermatology | Current | 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.
-
- Dermatology Physician
- New York, NY
- NPI 1831438662
-
- Dermatology Physician
- New York, NY
- NPI 1124569447
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.