Individual provider Active NPI

Yen Vu Sidoti

  • Family Nurse Practitioner
  • Castleton on Hudson, NY
National Provider Identifier
1164378808
Registry record updated May 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2025099134 Issued in NY
Practice address
1547 Columbia Tpke
Castleton on Hudson, NY 12033-9543
Phone
(518) 708-7296
NPI assigned
Mar 5, 2026
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 24, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X 2025099134 NY Primary

Addresses

Primary practice location

1547 Columbia Tpke
Castleton on Hudson, NY 12033-9543

Mailing address

1547 Columbia Tpke
Castleton on Hudson, NY 12033-9543
Phone (518) 708-7296

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

12 Kodiak Dr
Averill Park, NY 12018-4605

1547 Columbia Tpke
Castleton, NY 12033-9543

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2025099134NYMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1772668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779580800000",
    "number": "1164378808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1547 COLUMBIA TPKE",
            "city": "CASTLETON ON HUDSON",
            "state": "NY",
            "postal_code": "120339543",
            "telephone_number": "518-708-7296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1547 COLUMBIA TPKE",
            "city": "CASTLETON ON HUDSON",
            "state": "NY",
            "postal_code": "120339543",
            "telephone_number": "518-708-7296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIDOTI",
        "first_name": "YEN",
        "middle_name": "VU",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-03-05",
        "last_updated": "2026-05-24",
        "certification_date": "2026-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "2025099134",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Castleton on Hudson, NY

Sources for this page

Verify at the official NPI Registry.