Active NPI
Abdollah Yamani MD PC
- Ophthalmology Physician
- Mount Vernon, NY
National Provider Identifier
1194804435
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 125364
- Legal business name
- ABDOLLAH YAMANI MD PC
- Practice address
- 153 Stevens Ave
Suite 6
Mount Vernon, NY 10550-2543 - Phone
- (914) 667-3800
- Fax
- (914) 667-3812
- NPI assigned
- Nov 6, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Amir Yamani, MD
- Title
- Vice President
- Phone
- (914) 667-3800
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 125364 | NY | Primary |
Addresses
Primary practice location
153 Stevens Ave
Suite 6
Mount Vernon, NY 10550-2543
Mailing address
153 Stevens Ave
Suite 6
Mount Vernon, NY 10550-2543
Phone (914) 667-3800
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02412664 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20101214000254 | NY | Part B Supplier - Clinic/Group Practice | 7517154743 |
Receives reassigned benefits from 1 practitioner Practice locations: Mount Vernon, NY |
National Provider Directory
National Provider DirectoryLocations
153 Stevens Ave
Mount Vernon, NY 10550
Phone (914) 667-1620
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162771200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1213228800000",
"number": "1194804435",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "153 STEVENS AVE",
"address_2": "SUITE 6",
"city": "MOUNT VERNON",
"state": "NY",
"postal_code": "105502543",
"telephone_number": "914-667-3800",
"fax_number": "914-667-3812"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "153 STEVENS AVE",
"address_2": "SUITE 6",
"city": "MOUNT VERNON",
"state": "NY",
"postal_code": "105502543",
"telephone_number": "914-667-3800",
"fax_number": "914-667-3812"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ABDOLLAH YAMANI MD PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-06",
"last_updated": "2008-06-12",
"status": "A",
"authorized_official_last_name": "YAMANI",
"authorized_official_first_name": "AMIR",
"authorized_official_title_or_position": "VICE PRESIDENT",
"authorized_official_telephone_number": "914-667-3800",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Ophthalmology",
"state": "NY",
"license": "125364",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02412664",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mount Vernon, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.