Individual provider Active NPI

Ylliana M Villafana

  • Specialist
  • Brooklyn, NY
National Provider Identifier
1174888382
Registry record updated Jul 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
1090950 Issued in NY
Practice address
863 Marlborough Rd
Brooklyn, NY 11230-3047
Phone
(718) 284-3110
NPI assigned
Jul 13, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 13, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 1090950 NY Primary

Addresses

Primary practice location

863 Marlborough Rd
Brooklyn, NY 11230-3047

Mailing address

1202 Bergen Ave
Brooklyn, NY 11234-5980
Phone (646) 577-1572

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
1090950NYMDSpecialist

NPI Registry JSON

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

{
    "created_epoch": "1342137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1342137600000",
    "number": "1174888382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1202 BERGEN AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112345980",
            "telephone_number": "646-577-1572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "863 MARLBOROUGH RD",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112303047",
            "telephone_number": "718-284-3110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VILLAFANA",
        "first_name": "YLLIANA",
        "middle_name": "M",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-07-13",
        "last_updated": "2012-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "1090950",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.